Organization
NORTHWEST RENAL CLINIC, INC.
Active
Parent organization
NORTHWEST RENAL CLINIC, INC.
Other names
Northwest Dialysis Access Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST RENAL CLINIC, INC.
Authorized official
CLAYTON M SMILEY MD (MD)
(503) 229-7976
Entity
Organization
Contact information
Practice address
9701 SW BARNES RD STE 110, PORTLAND, OR 97225-6774
(503) 595-6675
(503) 595-6679
Mailing address
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210-2993
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/12/2023
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