PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1891807798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807798 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. |
| Other Organization Name | : PNRS ROSE QUARTER DIALYSIS CENTER |
| Practice Address |
4905 Ne Martin Luther King Blvd. Portland OR 97211-0000 |
| Practice Telephone | 5032887020 |
| Practice Fax Number | 5032887028 |
| Mailing Telephone | 5032887020 |
| Mailing Fax Number | 5032887028 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS |
| 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 ROSE QUARTER DIALYSIS CENTER | 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 |
| 1255443156 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2824 Ne Wasco St, Portland, OR 97232-1772 | 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 |
4905 NE MARTIN LUTHER KING BLVD. |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| 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 |
| 1982620969 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1600 Congress Street, Portland, ME 04102 | 2006-07-14 |
| 1922037902 | Oregon Kidney Center | Clinic/Center | 5318 Ne Irving St, Portland, OR 97213-3158 | 2006-07-01 |
| Find all providers in PORTLAND | ||||
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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.