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
12550 SE 93RD AVE, SUITE 250, CLACKAMAS, OR 97015-9786
(503) 654-1153
(503) 654-7693
Mailing address
12550 SE 93RD AVE, SUITE 250, CLACKAMAS, OR 97015-9786
(503) 654-1153
(503) 654-7693
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
07/12/2023
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