institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salem, Oregon
NPI 1063474229

Dva Healthcare Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care Inc practices in Salem, OR. The NPI Number for Dva Healthcare Renal Care Inc is 1063474229 and holds a License No. 170050 (Oregon).

The current practice location address for Dva Healthcare Renal Care Inc is 1220 Liberty St Ne, Salem, OR and can be reached out via phone at 503-315-2212 and via fax at 503-315-2199.

Location: 1220 Liberty St Ne, Salem, OR, 37027-7569
institution
Provider Profile Details
NPI Number
1063474229
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
1220 Liberty St Ne, Salem, OR, 37027-7569
Phone Number
503-315-2212
Fax Number
503-315-2199
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3990520 05 WA
297033 05 OR
institution
Provider Business Practice Location Address Details
Address
1220 Liberty St Ne
City
State
Zip
97303-7330
Phone Number
503-315-2212
Fax Number
503-315-2199
person
Provider Business Mailing Address Details
Address
1220 Liberty St Ne
City
State
Zip
97303-7330
Phone Number
503-315-2212
Fax Number
503-315-2199
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
170050 (Oregon)
Definition
Definition to come...
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