institution
Rsa - Portland, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon
NPI 1629253711

Rsa - Portland, Llc 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. Rsa - Portland, Llc practices in Portland, OR. The NPI Number for Rsa - Portland, Llc is 1629253711 and holds a License No. (Oregon).

The current practice location address for Rsa - Portland, Llc is 10595 Se Stark St, Portland, OR and can be reached out via phone at 503-252-0019.

Location: 10595 Se Stark St, Portland, OR, 90831-0002
institution
Provider Profile Details
NPI Number
1629253711
Provider Name
Rsa - Portland, Llc
Credential
Provider Entity Type
Organization
Address
10595 Se Stark St, Portland, OR, 90831-0002
Phone Number
503-252-0019
Fax Number
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
218630 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
person
Provider Business Mailing Address Details
Address
10595 Se Stark St
City
State
Zip
97216-2747
Phone Number
503-252-0019
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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