Isd Renal INC

NPI #1023064474 in Oregon City, Oregon

Provider Information

NPI Number
1023064474
Entity Type
Organization
Organization Name
Isd Renal INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 26, 2006
Last Updated
Sep 22, 2025

Practice Location

Address
1510 DIVISION ST STE 90
State
Oregon
ZIP Code
97045-1572
Phone
(503) 557-1373

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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