institution
Portland Peritoneal Center, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon
NPI 1437121704

Portland Peritoneal Center, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Long Beach, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Portland Peritoneal Center, Inc. practices in Portland, OR. The NPI Number for Portland Peritoneal Center, Inc. is 1437121704 and holds a License No. 394020 (Oregon).

The current practice location address for Portland Peritoneal Center, Inc. is 10595 Se Stark St, Portland, OR and can be reached out via phone at 503-252-0019 and via fax at 503-252-0068. You can also correspond with Portland Peritoneal Center, Inc. through the mailing address at 1 WORLD TRADE CTR, LONG BEACH, CA - 90831-0002 (mailing address contact number: 562-495-8075).

Location: 10595 Se Stark St, Portland, OR, 90831-0002
institution
Provider Profile Details
NPI Number
1437121704
Provider Name
Portland Peritoneal Center, Inc.
Credential
Provider Entity Type
Organization
Address
10595 Se Stark St, Portland, OR, 90831-0002
Phone Number
503-252-0019
Fax Number
503-252-0068
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121231 05 OR
institution
Provider Business Practice Location Address Details
Address
10595 Se Stark St
City
State
Zip
97216-2747
Phone Number
503-252-0019
Fax Number
503-252-0068
person
Provider Business Mailing Address Details
Address
1 World Trade Ctr
City
State
Zip
90831-0002
Phone Number
562-495-8075
Fax Number
562-495-8076
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
394020 (Oregon)
Definition
Definition to come...
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