Organization
NORTHWEST RENAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON M SMILEY (MD)
(503) 229-7976
Entity
Organization
Contact information
Practice address
4224 NE HALSEY ST STE 300, PORTLAND, OR 97213-1568
(503) 235-5509
(503) 235-5335
Mailing address
1130 NW 22ND AVE, SUITE 640, PORTLAND, OR 97210-5488
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
07/12/2023
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