Organization
NORTHWEST RENAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON M SMILEY MD (MD)
(503) 229-7976
Entity
Organization
Contact information
Practice address
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210-2993
(503) 229-7976
(503) 274-4867
Mailing address
PO BOX 3068, PORTLAND, OR 97208-3068
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029926
—
WA
05
—
500400267
—
OR
05
—
800151
—
HI
Enumeration date
03/14/2006
Last updated
09/25/2025
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