EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC

NPI # 

Practice Address:

10802 Se Washington St

Portland, OR, 97216-3118

Practice Phone:

503-254-4426

Practice Fax:

503-254-4135

License Number:

394016

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X