Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1770980401 Active

Practice location

2737 NE Martin Luther King Jr Blvd
Portland, OR 97212-3037

Call (503) 282-1253 Map

Fax (503) 528-8420

Mailing address

5200 Virginia Way, Att: 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...

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NPI record

NPI: 1770980401
Entity type: Organization (Type 2)
Issued: Nov 24, 2014
Last updated: Apr 11, 2025
Status: Active

Other names

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Portland MLK Dialysis · doing business as
Portland MLK Dialysis · doing business as

Authorized official

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

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About NPI 1770980401

Total Renal Care Inc's National Provider Identifier is 1770980401, issued on Nov 24, 2014. 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 Apr 11, 2025.