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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
10201 SE MAIN ST, SUITE 27, PORTLAND, OR 97216-2937
(503) 256-0877
(503) 256-4188
Mailing address
10201 SE MAIN ST, SUITE 27, PORTLAND, OR 97216-2937
(503) 256-0877
(503) 256-4188

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
09/20/2010
Last updated
07/12/2023
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