ISD RENAL INC


Address: 703 Ne Hancock St, Portland, OR 97212-3955
Phone: 5034933322

ISD RENAL INC (NPI# 1629024021) 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) 1629024021
Entity Type Organization
Organization Name ISD RENAL INC
Other Organization Name NORTHEAST PORTLAND RENAL CENTER
Practice Address 703 Ne Hancock St
Portland
OR 97212-3955
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 5034933322
Practice Fax Number 5032879434
Mailing Telephone 6153416814
Mailing Fax Number 8002938405
Enumeration Date 2006-05-26
Last Update Date 2019-09-05
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/Organization Names

Other Name Type Code
Northeast Portland Renal Center 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 703 NE HANCOCK ST
City PORTLAND
State OR
Zip Code 97212-3955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811237563 Jennifer Fritzsche Dietitian, Registered 703 Ne Hancock St, Portland, OR 97212-3955 2013-02-18
1003109042 Kara Marie Odiaga Dietitian, Registered 703 Ne Hancock St, Portland, OR 97212-3955 2011-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285191361 Beliving Counseling and Consulting Counselor 311 Ne Russell Street, #211, Portland, OR 97212 2019-02-26
1497223051 Shira Dennis Behavioral Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
Find all providers in zip 97212

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
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
1770980401 Total Renal Care Inc Clinic/Center 2737 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3037 2014-11-24
1932532157 Rose City Dialysis, LLC Clinic/Center 10300 Sw Nimbus Ave Ste Pa, Portland, OR 97223-4345 2013-08-12
1023367893 Rose City Dialysis LLC Clinic/Center 11909 Ne Glenn Widing Dr, Portland, OR 97220-9099 2012-09-07
1629180443 Dialysis Associates, LLC Clinic/Center 923 S Broadway, Portland, TN 37148-1691 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
1982620969 Bio-medical Applications of Maine, Inc. Clinic/Center 1600 Congress Street, Portland, ME 04102 2006-07-14
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Competitor

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City PORTLAND
Zip Code 97212

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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