Organization · Type 2 NPI

Isd Renal Inc

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

NPI number 1548552003 Active

Practice location

1700 NW 167th Pl Ste 230
Beaverton, OR 97006-4872

Call (503) 439-8829 Map

Fax (503) 439-9942

Mailing address

5200 Virginia Way, Attn: L&c Dept
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...

Another provider at this address

Cleo Alaia West, RDRegistered Dietitian Beaverton, OR NPI 1487325445

Other end-stage renal disease (esrd) treatment clinic/center providers in Beaverton

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NPI record

NPI: 1548552003
Entity type: Organization (Type 2)
Issued: May 3, 2011
Last updated: Jul 22, 2025
Status: Active

Other names

<unavail>
Cornell Road Dialysis · doing business as
Cornell Road Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1548552003

Isd Renal Inc's National Provider Identifier is 1548552003, issued on May 3, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Beaverton, OR. The record was last updated on Jul 22, 2025.