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PACIFIC NORTHWEST RENAL SERVICES L.L.C. NPI 1073625976


NPI Information

NPI: 1073625976
Provider Name: PACIFIC NORTHWEST RENAL SERVICES, L.L.C.

Doing Business As: PNRS-NORTH COAST DIALYSIS CLINIC

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 38D0955773

Address:
632 MARINE DR
ASTORIA, OR
ZIP 97103
Phone: (971) 606-6015
Get Directions

PACIFIC NORTHWEST RENAL SERVICES, L.L.C. is an end-stage renal disease (esrd) treatment clinic center in Astoria, OR. PACIFIC NORTHWEST RENAL SERVICES, L.L.C. NPI is 1073625976. The provider is registered as an organization entity type.
The provider Is Doing Business As Pnrs-north Coast Dialysis Clinic.

The provider's business location address is:

632 MARINE DR
ASTORIA, OR
ZIP 97103-249
Phone: (971) 606-6015
Fax: (503) 325-4114

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 38D0955773 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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