Pacific Northwest Renal Services, L.L.C.
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Sandy, OR. Organization (NPI-2).
NPI number1962242552
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1962242552
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Northwest Renal Services, L.L.C.
- Organization subpart
- Yes
- Enumeration date
- May 30, 2024
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Fresenius Medical Care Sandy Dialysis (Doing Business As)
Practice location
37139 Highway 26Sandy, OR 97055-7271
Phone 503-826-1352 · Fax 505-826-0810
Mailing address
37139 Highway 26Sandy, OR 97055-7271
Phone 503-826-1352 · Fax 505-826-0810
Authorized official
Barry Blanton
Vp
2144453010
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