Julia E Tank (NPI# 1114995297, PAC ID# 3375557549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1114995297 |
| PAC ID by PECOS | 3375557549 |
| Professional Enrollment ID | I20060127000078 |
| Full Name | Julia E Tank |
| Organization Legal Name | NORTHWEST RENAL CLINIC INC |
| Address |
1130 Nw 22nd Ave Suite 640 Portland OR 97210-2993 |
| Phone Number | 5032297976 |
| Gender | F |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8628065836 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| 381318 | PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL |
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 | 5032297976 | NORTHWEST RENAL CLINIC INC |
| Organization Legal Name | NORTHWEST RENAL CLINIC INC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clayton Michael Smiley | Nephrology | Northwest Renal Clinic Inc | 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 |
| Leslie M Steed | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Adam C Protain | Internal Medicine | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Meenakshi A Narasimhamurthy | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Mitchell Hawkey | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Tricia N Jesperson | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Nadia V Dobraya | Nurse Practitioner | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Claire T Kassakian | Nephrology | Northwest Renal Clinic Inc | 5050 Ne Hoyt St, Suite 54, Portland, OR 97213-2991 |
| Nicole M Kemper | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Karalyn J Pazdernik-harmon | Physician Assistant | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Street Address |
1130 NW 22ND AVE SUITE 640 |
| City | PORTLAND |
| State | OR |
| Zip | 97210-2993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bert G Tavelli | Dermatology | 1130 Nw 22nd Ave, Suite 330, Portland, OR 97210-2970 | |
| Kishoree J Patel | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Apurva Pandey | Hematology/oncology | University Professional Services | 1130 Nw 22nd Ave, Suite 150, Portland, OR 97210-2900 |
| Joy A Rothschild | Nurse Practitioner | Women's Healthcare Associates LLC | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210-2976 |
| Brandy Masters Carpenter | Nurse Practitioner | Legacy Good Samaritan Hospital and Medical Center | 1130 Nw 22nd Ave, Suite 120, Portland, OR 97210-2934 |
| Leslie M Steed | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Mark W Sands | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Michelle D Degeest | Obstetrics/gynecology | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Mikeanne Minter | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Suite 220, Portland, OR 97210-2969 |
| Aura Theresa B De Olazo | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Brown | Clinical Psychologist | 2134 Nw Aspen Ave, Portland, OR 97210-1217 | |
| Megan A Banker | Chiropractic | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 | |
| Gail F Ott | Chiropractic | Megan Banker Dc PC | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 |
| Carol Stimpson Christensen | Clinical Social Worker | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Laurence W Christensen | Clinical Psychologist | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Karen B Kelsall | Chiropractic | 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563 | |
| Anthony U Weber | Chiropractic | Kelsall Chiropractic Clinic PC | 1615 Nw23rd Ave, Portland, OR 97210-2563 |
| Tony Farrenkopf | Psychologist, Clinical | 2256 Nw Pettygrove St, Portland, OR 97210-2608 | |
| Kimberly Michiko Nakayama | Qualified Audiologist | Northwest Ear Institute PC | 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659 |
| Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Find all physicians in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | NEPHROLOGY |
| City + Specialty | PORTLAND + NEPHROLOGY |
Please comment or provide details below to improve the information on Julia E Tank.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.