Pacific Northwest Renal Services, L.l.c.

NPI #1437261336 in Clackamas, Oregon

Provider Information

NPI Number
1437261336
Entity Type
Organization
Organization Name
Pacific Northwest Renal Services, L.l.c.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
13560 SE 97TH AVE
State
Oregon
ZIP Code
97015-7691
Phone
(503) 659-8200

Authorized Official

Name
MARK FAWCETT
Title
TREASURER
Phone
(781) 402-9000

Specialties & Taxonomy Codes

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

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