GARSON DIALYSIS, LLC (NPI# 1922522432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922522432 |
| Entity Type | Organization |
| Organization Name | GARSON DIALYSIS, LLC |
| Practice Address |
6828 Se Foster Rd Portland OR 97206-4546 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 5037775780 |
| Practice Fax Number | 5037743002 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GARSON DIALYSIS, LLC | Jld/secgovfin, 2000 16th St, Denver, CO 80202 |
| Street Address |
6828 SE FOSTER RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
| 1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
| 1770980401 | Total Renal Care Inc | Clinic/Center | 2737 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3037 | 2014-11-24 |
| 1932532157 | Rose City Dialysis, LLC | Clinic/Center | 10300 Sw Nimbus Ave Ste Pa, Portland, OR 97223-4345 | 2013-08-12 |
| 1023367893 | Rose City Dialysis LLC | Clinic/Center | 11909 Ne Glenn Widing Dr, Portland, OR 97220-9099 | 2012-09-07 |
| 1629180443 | Dialysis Associates, LLC | Clinic/Center | 923 S Broadway, Portland, TN 37148-1691 | 2006-08-31 |
| 1083726988 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 | 2006-08-31 |
| 1891807798 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 | 2006-08-31 |
| 1982620969 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1600 Congress Street, Portland, ME 04102 | 2006-07-14 |
| 1922037902 | Oregon Kidney Center | Clinic/Center | 5318 Ne Irving St, Portland, OR 97213-3158 | 2006-07-01 |
| Find all providers in PORTLAND | ||||
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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.