Organization
IRC-RENASOLVE ROSEBURG JOINT VENTURE LLC
Active
Other names
INNOVATIVE RENAL CARE ROSEBURG
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CNO)
(208) 371-7878
Entity
Organization
Contact information
Practice address
171 NW MEDICAL LOOP STE 109, ROSEBURG, OR 97471-8690
(541) 900-6910
(541) 900-6911
Mailing address
171 NW MEDICAL LOOP STE 109, ROSEBURG, OR 97471-8690
(541) 900-6910
(541) 900-6911
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
06/12/2024
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