Organization
PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
PNRS COLUMBIA RIVER - THE DALLES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
411 LONE PINE BLVD, THE DALLES, OR 97058-9498
(541) 298-1007
(541) 298-1025
Mailing address
411 LONE PINE BLVD, THE DALLES, OR 97058-9498
(541) 298-1007
(541) 298-1025
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382564
PTAN
OR
Enumeration date
01/09/2013
Last updated
10/18/2023
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