ISD RENAL INC


Address: 1700 Nw 167th Pl Ste 230, Beaverton, OR 97006-4872
Phone: 5034398829

ISD RENAL INC (NPI# 1548552003) 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) 1548552003
Entity Type Organization
Organization Name ISD RENAL INC
Other Organization Name CORNELL ROAD DIALYSIS
Practice Address 1700 Nw 167th Pl Ste 230
Beaverton
OR 97006-4872
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5034398829
Practice Fax Number 5034399942
Mailing Telephone 6153416814
Mailing Fax Number 8002938405
Enumeration Date 2011-05-03
Last Update Date 2019-01-08
Authorized Official Name MR. JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

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 Identifier

State Issuer Identifier Type Code
OR 500644442 05

Other Provider/Organization Names

Other Name Type Code
Cornell Road Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295344307 Isd Renal Inc Clinic/Center 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 2020-07-24
1225647332 Isd Renal Inc Clinic/Center 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 2020-07-24
1336758549 Isd Renal Inc Clinic/Center 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 2020-07-24
1538793773 Isd Renal Inc Clinic/Center 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 2020-02-26
1821646035 Isd Renal Inc Clinic/Center 262 Broad St, Newark, NJ 07104-3809 2019-08-30
1245891670 Isd Renal Inc Clinic/Center 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 2019-06-26
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1003390469 Isd Renal Inc Clinic/Center 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 2018-09-21
1174006662 Isd Renal Inc Clinic/Center 2636 W Michigan St, Indianapolis, IN 46222-3727 2018-09-11
1619459682 Isd Renal Inc Clinic/Center 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 2018-09-05

Office Location

Street Address 1700 NW 167TH PL STE 230
City BEAVERTON
State OR
Zip Code 97006-4872

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184238727 Hayden Alexander Meriwether Dentist 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 2020-09-01
1336781202 Courtney Rae Murata Behavior Technician 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 2019-10-11
1992355986 Pamela J. Viado Technician 1220 Nw Weybridge Way, Beaverton, OR 97006 2019-09-12
1477115384 One Change Group Community/Behavioral Health 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 2019-07-01
1649731332 Regina C. Rizo Social Worker 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 2019-03-26
1043731912 Elizabeth A Cintron Occupational Therapy Assistant 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 2017-06-30
1265979173 Lindsay Jensen Massage Therapist 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 2017-01-30
1851835722 Changepoint, Inc Clinic/Center 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 2016-12-13
1689126302 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 2225 Nw Towncenter Drive, Beaverton, OR 97006 2016-10-28
1558717413 Dillon Duvall Physical Therapist 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 2016-05-10
Find all providers in zip 97006

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
1083716401 Pacific Northwest Renal Services, L.L.C. Clinic/Center 15201 Nw Greenbrier Pkwy, Beaverton, OR 97006-5771 2006-09-05
1841200573 Pacific Northwest Renal Services, LLC Clinic/Center 2715 Sw 153rd Dr, Beaverton, OR 97006-5106 2006-08-08

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City BEAVERTON
Zip Code 97006

Improve Information

Please comment or provide details below to improve the information on ISD RENAL INC.

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.

Trending Searches