institution
Rose City Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon
NPI 1023367893

Rose City Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Portland, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Rose City Dialysis, Llc practices in Portland, OR. The NPI Number for Rose City Dialysis, Llc is 1023367893 and holds a License No. (Oregon).

The current practice location address for Rose City Dialysis, Llc is 11909 Ne Glenn Widing Dr, Portland, OR and can be reached out via phone at 503-255-3464 and via fax at 503-254-6160.

Location: 11909 Ne Glenn Widing Dr, Portland, OR, 97220-9099
institution
Provider Profile Details
NPI Number
1023367893
Provider Name
Rose City Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
11909 Ne Glenn Widing Dr, Portland, OR, 97220-9099
Phone Number
503-255-3464
Fax Number
503-254-6160
Provider Enumeration Date
09/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38-2561 01 OR PTAN
institution
Provider Business Practice Location Address Details
Address
11909 Ne Glenn Widing Dr
City
State
Zip
97220-9099
Phone Number
503-255-3464
Fax Number
503-254-6160
person
Provider Business Mailing Address Details
Address
11909 Ne Glenn Widing Dr
City
State
Zip
97220-9099
Phone Number
503-255-3464
Fax Number
503-254-6160
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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