Clayton Michael Smiley (NPI# 1679544431, PAC ID# 9830290055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1679544431 |
| PAC ID by PECOS | 9830290055 |
| Professional Enrollment ID | I20070718000372 |
| Full Name | Clayton Michael Smiley |
| Organization Legal Name | NORTHWEST RENAL CLINIC INC |
| Address |
8050 Sw Warm Springs St Suite 150 Tualatin OR 97062-7422 |
| Phone Number | 5036927971 |
| Gender | M |
| Graduation Year | 1998 |
| 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 |
|---|---|
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| 380009 | OHSU HOSPITAL |
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 | 5032297976 | NORTHWEST RENAL CLINIC INC |
| 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 | 5036927971 | NORTHWEST RENAL CLINIC INC |
| 105 Maui Lani Pkwy, Suite 100, Wailuku, HI 96793-2443 | 8084427777 | NORTHWEST RENAL CLINIC INC |
| Organization Legal Name | NORTHWEST RENAL CLINIC INC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Julia E Tank | 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 |
8050 SW WARM SPRINGS ST SUITE 150 |
| City | TUALATIN |
| State | OR |
| Zip | 97062-7422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wung Hong Yee | Hematology/oncology | University Professional Services | 19260 Sw 65th Ave, Suite 140, Tualatin, OR 97062-5703 |
| Lisa M Cowan | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Darin J Steblaj | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Timothy L Keenen | Orthopedic Surgery | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Nicole Celeste Foster | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Ruchi J Wanchoo | Neurology | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Charlotte A Haws | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Arielle E Radelet | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Dale G Campbell | Clinical Social Worker | 22100 Sw Grahams Ferry Rd, Tualatin, OR 97062-6993 | |
| Gary A Burgoine | Obstetrics/gynecology | Women's Healthcare Associates LLC | 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062-7452 |
| Find all physicians in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| Specialty | NEPHROLOGY |
| City + Specialty | TUALATIN + NEPHROLOGY |
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| 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.