Organization · Type 2 NPI

Providence Health & Services Oregon

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

NPI number 1396818993 Active

Practice location

4805 NE Glisan St
Portland, OR 97213-2933

Call (503) 215-4323 Map

Fax (503) 215-0297

Mailing address

PO Box 3395
Portland, OR 97208-3395

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 1396818993

Providence Health & Services Oregon's National Provider Identifier is 1396818993, issued on Nov 15, 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 May 7, 2025.