ISD RENAL INC NPI 1023064474

NPI Information

NPI: 1023064474
Provider Name: ISD RENAL INC

Doing Business As: WILLAMETTE VALLEY RENAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1510 DIVISION ST STE 90
OREGON CITY, OR
ZIP 97045
Phone: (503) 557-1373
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ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Oregon City, OR. ISD RENAL INC NPI is 1023064474. The provider is registered as an organization entity type.
The provider Is Doing Business As Willamette Valley Renal Center.

The provider's business location address is:

1510 DIVISION ST STE 90
OREGON CITY, OR
ZIP 97045-572
Phone: (503) 557-1373
Fax: (503) 557-1087

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 38D0913044 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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