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
9155 SW BARNES RD STE 402, PORTLAND, OR 97225-6631
(503) 292-7704
(503) 292-7046
Mailing address
1130 NW 22ND AVENUE, SUITE 640, PORTLAND, OR 97210
(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
—
119297
—
OR
Enumeration date
11/20/2007
Last updated
07/12/2023
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