Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC
Active
Other names
Oregon Kidney and Hypertension Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DERON FRANK (GENERAL MANAGER/VICE PRESIDENT)
(310) 536-2402
Entity
Organization
Contact information
Practice address
315 SE STONEMILL DR, SUITE 220, VANCOUVER, WA 98684-6998
(503) 284-1937
Mailing address
2000 16TH ST, DENVER, CO 80202-5158
(303) 876-7243
(866) 917-5396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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