PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1700998606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700998606 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. |
| Other Organization Name | PNRS EMANUEL |
| Practice Address |
2801 N Gantenbein Ave Ste. 4400 Portland OR 97227-1623 |
| Practice Telephone | 5034134346 |
| Mailing Telephone | 5034134346 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 Name | Type Code |
|---|---|
| PNRS EMANUEL | Doing Business As Name - Organization |
| 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 |
| 1073625976 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 632 Marine Dr, Astoria, OR 97103-5838 | 2006-08-31 |
| 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 |
| 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 |
| Street Address |
2801 N GANTENBEIN AVE STE. 4400 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027198 | James P Mccord | Pediatrics | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2005-07-20 |
| 1225639040 | Lina Rossetti-grulich | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2020-11-06 |
| 1033722673 | Karen Bronson | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2020-08-24 |
| 1356969331 | Sandy Hammer | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2020-07-07 |
| 1225673999 | Odaisa Igwe | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-11-16 |
| 1952945578 | Julie Lorine Hoover | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-11-06 |
| 1285278648 | Kate Harrell Unterberger | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-29 |
| 1780227082 | Keegan Carly Fritzke | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-21 |
| 1578106860 | Corinne Frohlick | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-20 |
| 1386287662 | Aimee Breitfelder Reddy | Pharmacist | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| 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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| 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.