Organization
TOTAL RENAL CARE INC
Active
Other names
NE Salem Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4792 PORTLAND RD NE, SALEM, OR 97305-1760
(503) 393-2142
(503) 393-2521
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
17-0098
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668959
—
OR
Enumeration date
03/06/2013
Last updated
05/14/2026
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