NPIMap

Organization Active NPI

Pacific Northwest Renal Services, L.L.C.

Doing business as PNRS Twin Oaks

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beaverton, OR
National Provider Identifier
1083716401
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Doing business as
PNRS Twin Oaks
Practice address
15201 NW Greenbrier Pkwy Ste C2
Beaverton, OR 97006-6004
Phone
(503) 690-4883
Fax
(503) 690-3020
NPI assigned
Sep 5, 2006
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James J. Divito
Title
Vice President
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

15201 NW Greenbrier Pkwy Ste C2
Beaverton, OR 97006-6004

Mailing address

15201 NW Greenbrier Pkwy Ste C2
Beaverton, OR 97006-6004
Phone (503) 690-4883

Other names 1

  • PNRS TWIN OAKS Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1083716401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 NW GREENBRIER PKWY STE C2",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066004",
            "telephone_number": "503-690-4883",
            "fax_number": "503-690-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 NW GREENBRIER PKWY STE C2",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066004",
            "telephone_number": "503-690-4883",
            "fax_number": "503-690-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST RENAL SERVICES, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNRS TWIN OAKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PNRS TWIN OAKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.