Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Woodburn Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1840 NEWBERG HWY, WOODBURN, OR 97071-3187
(503) 982-2005
(503) 982-2561
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
170048
OR
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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