PACIFIC NORTHWEST RENAL SERVICES, L.L.C.


Address: 632 Marine Dr, Astoria, OR 97103-5838
Phone: 9716066015

PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1073625976) 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) 1073625976
Entity Type Organization
Organization Name PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Other Organization Name PNRS-NORTH COAST DIALYSIS CLINIC
Practice Address 632 Marine Dr
Astoria
OR 97103-5838
Practice Telephone 9716066015
Practice Fax Number 9716066020
Mailing Telephone 9716066015
Mailing Fax Number 9716066020
Enumeration Date 2006-08-31
Last Update Date 2020-05-27
Authorized Official Name MARK FAWCETT (TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
PNRS-NORTH COAST DIALYSIS CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265855696 Pacific Northwest Renal Services, L.L.C. Clinic/Center 3921 Sw 13th Ave, Battle Ground, WA 98604-2807 2014-01-21
1992895494 Pacific Northwest Renal Services, L.L.C. Clinic/Center 345 Se Norton Ln, Mcminnville, OR 97128-8480 2006-10-13
1083716401 Pacific Northwest Renal Services, L.L.C. Clinic/Center 15201 Nw Greenbrier Pkwy, Beaverton, OR 97006-5771 2006-09-05
1154423317 Pacific Northwest Renal Services, L.L.C. Clinic/Center 9105a Ne Hwy. 99, Ste. 102, Vancouver, WA 98665 2006-09-01
1164534061 Pacific Northwest Renal Services, L.L.C. Clinic/Center 10601 S Walton Rd, La Grande, OR 97850-8488 2006-08-31
1437261336 Pacific Northwest Renal Services, L.L.C. Clinic/Center 13560 Se 97th Ave, Clackamas, OR 97015-7691 2006-08-31
1528170420 Pacific Northwest Renal Services, L.L.C. Clinic/Center 7780 Sw Mohawk St, Tualatin, OR 97062-9191 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
1255443156 Pacific Northwest Renal Services, L.L.C. Clinic/Center 2824 Ne Wasco St, Portland, OR 97232-1772 2006-08-31

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PACIFIC NORTHWEST RENAL SERVICES, L.L.C. 920 Winter Street, Tax Department, Waltham, MA 02451
Washington State Corporations PACIFIC NORTHWEST RENAL SERVICES, L.L.C. 920 Winter St, Waltham, MA 02451-1521

Office Location

Street Address 632 MARINE DR
City ASTORIA
State OR
Zip Code 97103-5838

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730552845 Kpg Oregon, LLC Internal Medicine 486 12th Street #200, Astoria, OR 97103 2015-11-11
1205239043 Brittany Dawn Vigoren Dental Hygienist 433 30th St., Astoria, OR 97103 2014-10-08
1497188858 Jennifer U Boggs Counselor 10 Pier 1 Ste 203, Astoria, OR 97103 2013-08-20
1780022046 Judy J Curnow Massage Therapist 1 12th Street Suite 10, Astoria, OR 97103 2013-06-10
1659626612 Megan Lampson Physical Therapist 646 16th Ave., Astoria, OR 97103 2012-07-16
1043580947 Matthew Thomas Cassity Physical Therapy Assistant 646 16th St., Astoria, OR 97103 2012-01-09
1881975969 Rebecca Nicole Roe Contractor 25 Whitebush Way, Astoria, OR 97103 2011-09-02
1346542214 Michele Lynn Hart Social Worker 2120 Exchange, Astoria, OR 97103 2010-11-29
1447551197 Barbara Ellen Arnold Pharmacist 3250 Leif Erickson Dr, Astoria, OR 97103 2010-11-11
1083915219 Christina Louise Jones Pharmacist 3250 Lief Erickson Dr, Astoria, OR 97103 2010-11-04
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578641494 Newtown Dialysis Center, Inc Clinic/Center 3401 35th Ave, Astoria, NY 11106-1222 2006-11-01
1013915222 Newtown Dialysis Center, Inc Clinic/Center 2920 Newtown Ave, Astoria, NY 11102-2129 2005-07-12
1639212939 Western Queens Dialysis Clinic/Center 3401 35th Ave, Astoria, NY 11106-1222 2007-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831652569 Harpett Dialysis, LLC Clinic/Center 61280 Se Coombs Pl, Bend, OR 97702-3704 2019-04-10
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1528529989 Pacific Dialysis LLC Clinic/Center 1935 Thompson Rd, Coos Bay, OR 97420-2040 2019-03-28
1659839181 Total Renal Care Inc Clinic/Center 645 9th St Nw, Salem, OR 97304-3132 2019-03-04
1992283170 Fresenius Medical Care Dialysis Services - Oregon, LLC Clinic/Center 3747 W 11th Ave, Eugene, OR 97402 2018-07-31
1922522432 Garson Dialysis, LLC Clinic/Center 6828 Se Foster Rd, Portland, OR 97206-4546 2017-07-27
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
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1821463555 Total Renal Care Inc Clinic/Center 421 Lancaster Dr Ne, Salem, OR 97301-4729 2015-12-07
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Competitor

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City ASTORIA
Zip Code 97103

Improve Information

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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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