Portland Peritoneal Center, Inc.

NPI #1437121704 in Portland, Oregon

Provider Information

NPI Number
1437121704
Entity Type
Organization
Organization Name
Portland Peritoneal Center, Inc.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 2, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
10595 SE STARK ST
State
Oregon
ZIP Code
97216-2747
Phone
(503) 252-0019

Authorized Official

Name
MR. JERRY GREEN
Title
SECRETARY
Phone
(562) 495-8075

Specialties & Taxonomy Codes

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

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