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Organization

NORTHWEST RENAL CLINIC, INC.

Active
Parent organization
NORTHWEST RENAL CLINIC, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST RENAL CLINIC, INC.
Authorized official
CLAYTON MICHAEL SMILEY MD (PRESIDENT)
(503) 229-7976
Entity
Organization

Contact information

Practice address
925 COMMERCIAL ST SE STE 110, SALEM, OR 97302-4172
(503) 967-6670
(503) 585-2185
Mailing address
925 COMMERCIAL ST SE STE 110, SALEM, OR 97302-4172
(503) 967-6670
(503) 585-2185

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
02/13/2020
Last updated
09/25/2020
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