Organization
NORTHWEST KIDNEY CENTERS
Active
Parent organization
NORTHWEST KIDNEY CENTERS
Other names
NKC Enumclaw Kidney Center, Enumclaw Kidney Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST KIDNEY CENTERS
Authorized official
JENNIFER ESLAVA (CHIEF FINANCIAL OFFICER)
(206) 292-2771
Entity
Organization
Contact information
Practice address
857 ROOSEVELT AVE E, ENUMCLAW, WA 98022-9239
(360) 825-2050
Mailing address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 292-2771
(206) 860-5821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029785
—
WA
Enumeration date
11/01/2012
Last updated
04/04/2025
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