Organization
RSA - PORTLAND, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Portland Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
10595 SE STARK ST, PORTLAND, OR 97216-2747
(503) 252-0019
Mailing address
1 WORLD TRADE CTR, STE 2500, LONG BEACH, CA 90831-0002
(562) 495-8075
(562) 495-8076
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
05
—
218630
—
OR
Enumeration date
01/08/2008
Last updated
10/25/2013
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