Organization
ISD RENAL INC
Active
Other names
Northeast Portland Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 493-3322
(503) 287-9434
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
09/05/2019
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