NORTHWEST RENAL CLINIC, INC.


Address: 9701 Sw Barnes Road, Suite 110, Portland, OR 97225
Phone: 5035956675

NORTHWEST RENAL CLINIC, INC. (NPI# 1396924999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396924999
Entity Type Organization
Organization Name NORTHWEST RENAL CLINIC, INC.
Practice Address 9701 Sw Barnes Road
Suite 110
Portland
OR 97225
Mailing Address 1130 Nw 22nd Avenue
Suite 640
Portland
OR 97210
Practice Telephone 5035956675
Practice Fax Number 5035956679
Mailing Telephone 5032297976
Mailing Fax Number 5032744867
Enumeration Date 2007-10-31
Last Update Date 2016-08-01
Authorized Official Name JONALYN HORSFALL (OFFICE MANAGER)
Authorized Official Telephone 5032297976
Is Organization Subpart Y
Parent Organization Name NORTHWEST RENAL CLINIC INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 119297 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396378717 Northwest Renal Clinic, Inc. Internal Medicine 925 Commercial St Se Ste 110, Salem, OR 97302-4172 2020-02-13
1164946984 Northwest Renal Clinic, Inc. Clinic/Center 9701 Sw Barnes Rd Ste 110, Portland, OR 97225-6774 2017-08-02
1780228544 Northwest Renal Clinic, Inc. Internal Medicine 105 Maui Lani Pkwy Ste 100, Wailuku, HI 96793-2443 2019-11-04
1689117087 Northwest Renal Clinic, Inc. Internal Medicine 12550 Se 93rd Ave, Suite 250, Clackamas, OR 97015-9786 2016-12-02
1750748901 Northwest Renal Clinic, Inc. Internal Medicine 730 Se Oak St, Suite I, Hillsboro, OR 97123-4245 2016-01-19
1861700130 Northwest Renal Clinic, Inc. Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-09-20
1982931333 Northwest Renal Clinic, Inc. Internal Medicine 5050 Ne Hoyt St, Suite B-54, Portland, OR 97213-2991 2009-11-05
1780865642 Northwest Renal Clinic, Inc. Internal Medicine 9155 Sw Barnes Rd, Suite 402, Portland, OR 97225-6625 2007-11-20
1679752273 Northwest Renal Clinic, Inc. Internal Medicine 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7424 2007-10-31
1528036662 Northwest Renal Clinic, Inc. Internal Medicine 1130 Nw 22nd Ave, Ste 640, Portland, OR 97210-2993 2006-03-14

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NORTHWEST RENAL CLINIC, INC. 1130 Nw 22nd #640, Portland, OR 97210

Office Location

Street Address 9701 SW BARNES ROAD
SUITE 110
City PORTLAND
State OR
Zip Code 97225

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184133746 Abd Assalam Qannus Internal Medicine 22 Bramhall St Rm 5219, Portland, ME 04102-3134 2017-09-27
1023403748 Sarah Gilligan Internal Medicine 19 Capisic St, Portland, ME 04102-2203 2015-03-31
1528487527 Janie Luong Internal Medicine 10201 Se Main St Ste 27, Portland, OR 97216-2937 2014-04-08
1386074953 David Alan Mccarron Internal Medicine 120 Nw 9th Ave, Suite 206, Portland, OR 97209-3324 2013-11-19
1578859849 Thuy Xuan Le Internal Medicine 1040 Nw 22nd Ave Ste 480, Portland, OR 97210-3062 2011-06-24
1427348150 Mark Nguyen Internal Medicine 1130 Nw 22nd Ave Ste 640, Portland, OR 97210-2993 2011-04-14
1720377039 Robert Whitney Rope Internal Medicine 3181 Sw Sam Jackson Park Rd Mc Sjh6, Portland, OR 97239-3011 2011-04-07
1578707451 Kate Schoolwerth Gustafson Internal Medicine 3710 Sw Us Veterans Hospital Rd # P3neph, Portland, OR 97239-2964 2009-04-23
1174777973 Tricia Noelle Jesperson Internal Medicine 5050 Ne Hoyt St Ste B54, Portland, OR 97213 2008-11-06
1861677825 Apolonia G. Silva Internal Medicine 6736 Ne Killingsworth Street La Clinica De Buena Salud, Portland, OR 97218-3338 2008-01-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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