Organization · Type 2 NPI

Kaiser Foundation Hospitals

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

NPI number 1366027856 Active

Practice location

3600 N Interstate Ave
Portland, OR 97227-1106

Call (800) 813-2000 Map

Mailing address

500 NE Multnomah St
Portland, OR 97232-2023

Specialties and licenses

Taxonomy	Code	License
Peritoneal Dialysis Registered Nurse	163WD1100X	None listed
Hemodialysis Registered Nurse	163WH0500X	None listed
Renal Dialysis Technician	2472R0900X	None listed
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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NPI record

NPI: 1366027856
Entity type: Organization (Type 2)
Issued: Mar 16, 2021
Last updated: Jun 23, 2022
Status: Active
Subpart: Yes of Kaiser Foundation Hospitals

Other names

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Kaiser Central Peritoneal Dialysis Facility · doing business as

Authorized official

Shawn Barton
Executive Director, Revenue Cycle
(800) 813-2000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366027856

Kaiser Foundation Hospitals's National Provider Identifier is 1366027856, issued on Mar 16, 2021. 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 Jun 23, 2022.