Pacific Northwest Renal Services, L.l.c.

NPI #1528170420 in Tualatin, Oregon

Provider Information

NPI Number
1528170420
Entity Type
Organization
Organization Name
Pacific Northwest Renal Services, L.l.c.
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Aug 31, 2006
Last Updated
Dec 28, 2020

Practice Location

Address
7780 SW MOHAWK ST
State
Oregon
ZIP Code
97062-9191
Phone
(971) 224-4000

Authorized Official

Name
JAMES J. DIVITO
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

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

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