institution
East Portland Peritoneal Dialysis Clinic, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon
NPI 1093786782

East Portland Peritoneal Dialysis Clinic, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plano, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. East Portland Peritoneal Dialysis Clinic, Llc practices in Portland, OR. The NPI Number for East Portland Peritoneal Dialysis Clinic, Llc is 1093786782 and holds a License No. 394016 (Oregon).

The current practice location address for East Portland Peritoneal Dialysis Clinic, Llc is 10802 Se Washington St, Portland, OR and can be reached out via phone at 503-254-4426 and via fax at 503-254-4135.

Location: 10802 Se Washington St, Portland, OR, 75024-5966
institution
Provider Profile Details
NPI Number
1093786782
Provider Name
East Portland Peritoneal Dialysis Clinic, Llc
Credential
Provider Entity Type
Organization
Address
10802 Se Washington St, Portland, OR, 75024-5966
Phone Number
503-254-4426
Fax Number
503-254-4135
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273929 05 OR
institution
Provider Business Practice Location Address Details
Address
10802 Se Washington St
City
State
Zip
97216-3118
Phone Number
503-254-4426
Fax Number
503-254-4135
person
Provider Business Mailing Address Details
Address
10802 Se Washington St
City
State
Zip
97216-3118
Phone Number
503-254-4426
Fax Number
503-254-4135
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
394016 (Oregon)
Definition
Definition to come...
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