Organization
EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care East Portland Home Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
10802 SE WASHINGTON ST, PORTLAND, OR 97216-3118
(503) 254-4426
(503) 254-4135
Mailing address
5851 LEGACY CIR, STE 900, PLANO, TX 75024-5966
(214) 736-2700
(214) 736-2733
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
394016
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273929
—
OR
Enumeration date
01/30/2006
Last updated
06/28/2016
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