Organization
TOTAL RENAL CARE, INC
Active
Other names
Portland Gateway Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9932 NE HALSEY ST, PORTLAND, OR 97220-4495
(503) 253-8170
(503) 253-8573
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
06/26/2025
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