NORTHWEST RENAL CLINIC, INC. (NPI# 1750748901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750748901 |
| Entity Type | Organization |
| Organization Name | NORTHWEST RENAL CLINIC, INC. |
| Practice Address |
730 Se Oak St Suite I Hillsboro OR 97123-4245 |
| Mailing Address |
1130 Nw 22nd Ave Suite 640 Portland OR 97210-2900 |
| Practice Telephone | 5034300497 |
| Practice Fax Number | 5037475985 |
| Mailing Telephone | 5032297976 |
| Mailing Fax Number | 5032744867 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | JULIE E. TANK (MD) |
| Authorized Official Telephone | 5032297976 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| 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 |
| 1396924999 | Northwest Renal Clinic, Inc. | Internal Medicine | 9701 Sw Barnes Road, Suite 110, Portland, OR 97225 | 2007-10-31 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST RENAL CLINIC, INC. | 1130 Nw 22nd #640, Portland, OR 97210 |
| Street Address |
730 SE OAK ST SUITE I |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613689 | Mary K Parent | Dentist | 730 Se Oak St, Suite C, Hillsboro, OR 97123-4245 | 2005-10-18 |
| 1013494806 | Milton Ramirez | Dentist | 730 Se Oak St, Hillsboro, OR 97123-4245 | 2018-07-24 |
| 1003393398 | Monica Sarmiento | Dental Hygienist | 730 Se Oak St, Hillsboro, OR 97123 | 2018-07-19 |
| 1235685967 | Michael Charles Kim | Dentist | 730 Se Oak St, Suite A & B, Hillsboro, OR 97123-4245 | 2016-09-01 |
| 1194171579 | Meghan Elizabeth Wallace | Nurse Practitioner | 730 Se Oak St, Suite D, Hillsboro, OR 97123-4245 | 2016-05-04 |
| 1033563267 | Nw Preventive and Primary Care | Naturopath | 730 Se Oak St, Suite K, Hillsboro, OR 97123-4245 | 2016-04-13 |
| 1063779932 | Virginia Garcia Memorial Health Center | Clinic/Center | 730 Se Oak St, Suite A & B, Hillsboro, OR 97123-4245 | 2012-04-17 |
| 1194914515 | Rebecca Hea-sun Shin | Dentist | 730 Se Oak St, Suite A, Hillsboro, OR 97123-4245 | 2007-10-22 |
| 1306859707 | Westside Cardiology PC | Clinic/Center | 730 Se Oak St, Ste I, Hillsboro, OR 97123-4245 | 2006-08-15 |
| 1841203700 | Robert Dwain Fields | Family Medicine | 730 Se Oak St, Suite D, Hillsboro, OR 97123-4245 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902846231 | Davita Nephrology Medical Associates of California Inc | Internal Medicine | 1323 East Franklin Street, Hill Regional Medical Office Building, Hillsboro, TX 76648 | 2006-06-07 |
| 1972571024 | Rubin Chandran | Internal Medicine | 730 Se Oak St Ste I, Hillsboro, OR 97123 | 2006-03-14 |
| 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 |
| 1477962694 | Centennial Medical Group Inc. | Internal Medicine | 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 | 2014-08-13 |
| 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 with the same taxonomy | ||||
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| 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.