NORTHWEST RENAL CLINIC, INC.


Address: 925 Commercial St Se Ste 110, Salem, OR 97302-4172
Phone: 5039676670

NORTHWEST RENAL CLINIC, INC. (NPI# 1396378717) 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) 1396378717
Entity Type Organization
Organization Name NORTHWEST RENAL CLINIC, INC.
Practice Address 925 Commercial St Se Ste 110
Salem
OR 97302-4172
Practice Telephone 5039676670
Practice Fax Number 5035852185
Mailing Telephone 5039676670
Mailing Fax Number 5035852185
Enumeration Date 2020-02-13
Last Update Date 2020-09-25
Authorized Official Name CLAYTON MICHAEL SMILEY (PRESIDENT)
Authorized Official Telephone 5032297976
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name NORTHWEST RENAL CLINIC, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1750748901 Northwest Renal Clinic, Inc. Internal Medicine 730 Se Oak St, Suite I, Hillsboro, OR 97123-4245 2016-01-19
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

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NORTHWEST RENAL CLINIC, INC. 1130 Nw 22nd #640, Portland, OR 97210

Office Location

Street Address 925 COMMERCIAL ST SE STE 110
City SALEM
State OR
Zip Code 97302-4172

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982662052 Parkland Physician Services Inc Internal Medicine 18 Pelham Rd, Salem, NH 03079-4818 2006-05-01
1992794515 Ana Stankovic Internal Medicine 31 Stiles Rd Ste 2400, Salem, NH 03079 2005-10-17
1649279035 Denis Privalov Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2005-07-18
1326400656 Center for Kidney and Metabolic Disorders Pllc Internal Medicine 31 Stiles Rd Ste 2400, Salem, NH 03079 2016-03-25
1285885160 Hima Bindu Yalamanchili Internal Medicine 1970 Roanoke Blvd, Salem, VA 24153-6404 2008-10-09
1649436585 Ken Jongho Park Internal Medicine 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2008-07-30
1710164587 Andrea R Moore Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2008-01-23
1568668929 Yekaterina Gincherman Internal Medicine 875 Oak St Se, Suite 5070, Salem, OR 97301-3975 2007-06-22
1467672261 Kidney Care Physicians LLC Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3975 2007-04-26
1902022817 Lance M Dicker Internal Medicine 875 Oak St Se, Ste 5070, Salem, OR 97301-3975 2007-04-18
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97302

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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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