NORTHWEST RENAL CLINIC, INC.


Address: 12550 Se 93rd Ave, Suite 250, Clackamas, OR 97015-9786
Phone: 5036541153

NORTHWEST RENAL CLINIC, INC. (NPI# 1689117087) 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) 1689117087
Entity Type Organization
Organization Name NORTHWEST RENAL CLINIC, INC.
Practice Address 12550 Se 93rd Ave
Suite 250
Clackamas
OR 97015-9786
Practice Telephone 5036541153
Practice Fax Number 5036547693
Mailing Telephone 5036541153
Mailing Fax Number 5036547693
Enumeration Date 2016-12-02
Last Update Date 2017-08-01
Authorized Official Name JULIE E. TANK (PHYSICIAN)
Authorized Official Telephone 5032297976
Authorized Official Credential MD
Is Organization Subpart N

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
1396378717 Northwest Renal Clinic, Inc. Internal Medicine 925 Commercial St Se Ste 110, Salem, OR 97302-4172 2020-02-13
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
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 12550 SE 93RD AVE
SUITE 250
City CLACKAMAS
State OR
Zip Code 97015-9786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417939364 Mark Newell Mccurdy Physical Therapist 12550 Se 93rd Ave, Ste 265, Clackamas, OR 97015-8796 2005-11-16
1841744323 Ashley Billingsley Physical Therapist 12550 Se 93rd Ave, Site 265, Clackamas, OR 97015-9786 2016-08-12
1477885218 James Alexander Novotny Nurse Practitioner 12550 Se 93rd Ave, Suite 250, Clackamas, OR 97015-9786 2010-02-04
1720058530 Julie Michelle Larson Physical Therapist 12550 Se 93rd Ave, Ste 265, Clackamas, OR 97015-9786 2006-01-24
1851377212 Therapeutic Associates Inc Physical Therapist 12550 Se 93rd Ave, Ste 265, Clackamas, OR 97015-9786 2005-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
Find all providers in zip 97015

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 state

NPI Name Taxonomy Address Enumeration
1396378717 Northwest Renal Clinic, Inc. Internal Medicine 925 Commercial St Se Ste 110, Salem, OR 97302-4172 2020-02-13
1477962694 Centennial Medical Group Inc. Internal Medicine 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 2014-08-13
1528487527 Janie Luong Internal Medicine 10201 Se Main St Ste 27, Portland, OR 97216-2937 2014-04-08
1386074953 David Alan Mccarron Internal Medicine 120 Nw 9th Ave, Suite 206, Portland, OR 97209-3324 2013-11-19
1578859849 Thuy Xuan Le Internal Medicine 1040 Nw 22nd Ave Ste 480, Portland, OR 97210-3062 2011-06-24
1427348150 Mark Nguyen Internal Medicine 1130 Nw 22nd Ave Ste 640, Portland, OR 97210-2993 2011-04-14
1720377039 Robert Whitney Rope Internal Medicine 3181 Sw Sam Jackson Park Rd Mc Sjh6, Portland, OR 97239-3011 2011-04-07
1578707451 Kate Schoolwerth Gustafson Internal Medicine 3710 Sw Us Veterans Hospital Rd # P3neph, Portland, OR 97239-2964 2009-04-23
1174777973 Tricia Noelle Jesperson Internal Medicine 5050 Ne Hoyt St Ste B54, Portland, OR 97213 2008-11-06
1861677825 Apolonia G. Silva Internal Medicine 6736 Ne Killingsworth Street La Clinica De Buena Salud, Portland, OR 97218-3338 2008-01-08
Find all providers with the same taxonomy

Competitor

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City CLACKAMAS
Zip Code 97015

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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