Ihome Dialysis LLC

NPI #1073902722 in Portland, Oregon

Provider Information

NPI Number
1073902722
Entity Type
Organization
Organization Name
Ihome Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jan 19, 2015
Last Updated
Jun 26, 2018

Practice Location

Address
12045 SE PARDEE ST
State
Oregon
ZIP Code
97266-3220
Phone
(503) 519-2672

Authorized Official

Name
ROBERT M ASA JR.
Title
VP/CEO
Phone
(503) 519-2672

Specialties & Taxonomy Codes

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

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