Organization
PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS
Other names
: PNRS ROSE QUARTER DIALYSIS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS
Authorized official
MARK FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
4905 NE MARTIN LUTHER KING BLVD., PORTLAND, OR 97211-0000
(503) 288-7020
(503) 288-7028
Mailing address
4905 NE MARTIN LUTHER KING BLVD., PORTLAND, OR 97211-0000
(503) 288-7020
(503) 288-7028
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
04/25/2016
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