Organization · Type 2 NPI

Northwest Renal Clinic, Inc.

Nephrology Physician · Wailuku, HI

NPI number 1780228544 Active

Practice location

105 Maui Lani Pkwy Ste 100
Wailuku, HI 96793-2443

Call (808) 442-7777 Map

Fax (808) 442-7778

Mailing address

1130 NW 22nd Ave Ste 640
Portland, OR 97210-5488

Specialties and licenses

Taxonomy	Code	License
Nephrology Physician Primary	207RN0300X	None listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

6 other providers at this address

Other nephrology physician providers in Wailuku

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NPI record

NPI: 1780228544
Entity type: Organization (Type 2)
Issued: Nov 4, 2019
Last updated: Nov 5, 2019
Status: Active
Subpart: Yes of Northwest Renal Clinic, Inc.

Other names

<unavail>
Island Kidney Care · doing business as
Island Kidney Care · doing business as

Authorized official

Clayton Michael Smiley, MD
President / MD
(503) 229-7976

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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 1780228544

Northwest Renal Clinic, Inc.'s National Provider Identifier is 1780228544, issued on Nov 4, 2019. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Wailuku, HI. The record was last updated on Nov 5, 2019.