Tillamook Kidney Center LLC

NPI #1952129470 in Tillamook, Oregon

Provider Information

NPI Number: 1952129470
Entity Type: Organization
Organization Name: Tillamook Kidney Center LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Oct 2, 2024
Last Updated: Oct 2, 2024

Practice Location

Address: 1000 3RD ST
City: Tillamook
State: Oregon
ZIP Code: 97141-3430
Phone: (816) 509-8559

Authorized Official

Name: DONOVAN SCHULTZ
Title: PRESIDENT
Phone: (615) 327-3061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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