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Pacific Northwest Renal Services, L.l.c.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Vancouver, Washington
NPI 1154423317

Pacific Northwest Renal Services, L.l.c. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Vancouver, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Pacific Northwest Renal Services, L.l.c. practices in Vancouver, WA. The NPI Number for Pacific Northwest Renal Services, L.l.c. is 1154423317 and holds a License No. (Washington).

The current practice location address for Pacific Northwest Renal Services, L.l.c. is 9105 Ne Highway 99 Ste 102, Vancouver, WA and can be reached out via phone at 360-576-1350 and via fax at 360-576-1472.

Location: 9105 Ne Highway 99 Ste 102, Vancouver, WA, 98665-8974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154423317
Provider Name
Pacific Northwest Renal Services, L.l.c.
Credential
Provider Entity Type
Organization
Address
9105 Ne Highway 99 Ste 102, Vancouver, WA, 98665-8974
Phone Number
360-576-1350
Fax Number
360-576-1472
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
502524 01 WA PTAN
institution
Provider Business Practice Location Address Details
Address
9105 Ne Highway 99 Ste 102
City
Vancouver
State
Washington
Zip
98665-8974
Phone Number
360-576-1350
Fax Number
360-576-1472
person
Provider Business Mailing Address Details
Address
9105 Ne Highway 99 Ste 102
City
Vancouver
State
Washington
Zip
98665-8974
Phone Number
360-576-1350
Fax Number
360-576-1472
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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