Organization
OREGON KIDNEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PETERSON (COLLECTIONS SUPERVISOR)
(520) 584-4228
Entity
Organization
Contact information
Practice address
5318 NE IRVING ST, PORTLAND, OR 97213-3158
(503) 284-1939
(503) 284-3991
Mailing address
P.O. BOX 52432, TEMPE, AZ 85072-2432
(520) 751-0616
(520) 751-1211
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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