Organization · Type 2 NPI

Providence Health & Services - Oregon

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Portland, OR

NPI number 1285717728 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Call (503) 215-4323 Map

Fax (503) 215-0297

Mailing address

PO Box 3396
Portland, OR 97208-3396

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1285717728

Providence Health & Services - Oregon's National Provider Identifier is 1285717728, issued on Oct 20, 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 Aug 4, 2020.