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Organization

GARSON DIALYSIS, LLC

Active
Other names
Foster Powell Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAM T WEY AO (VP, LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization

Contact information

Practice address
6828 SE FOSTER RD, PORTLAND, OR 97206-4546
(503) 777-5780
(503) 774-3002
Mailing address
5200 VIRGINIA WAY, ATTN: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(931) 797-8336
(866) 510-6389

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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