Organization · Type 2 NPI
Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Portland, OR
NPI number
1184670705
Active
Practice location
3524 NE Sandy Blvd
Portland, OR 97232-1961
Fax (503) 236-8110
Mailing address
5200 Virginia Way, Licensure & Certification
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1184670705
Isd Renal Inc's National Provider Identifier is 1184670705, issued on May 25, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2020.