East Portland Peritoneal Dialysis Clinic, LLC

NPI #1093786782 in Portland, Oregon

Provider Information

NPI Number
1093786782
Entity Type
Organization
Organization Name
East Portland Peritoneal Dialysis Clinic, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jan 30, 2006
Last Updated
Jun 28, 2016

Practice Location

Address
10802 SE WASHINGTON ST
State
Oregon
ZIP Code
97216-3118
Phone
(503) 254-4426

Authorized Official

Name
THOMAS L. WEINBERG
Title
AUTHORIZED OFFICIAL
Phone
(214) 736-2700

Specialties & Taxonomy Codes

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

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