Pacific Northwest Renal Services, L.L.C.

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-Home Dialysis

Practice address

2701 NW Vaughn St Ste 150
Portland, OR 97210-5379

Phone

(503) 205-0320

Fax

(503) 205-0641

NPI assigned

Aug 31, 2006

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• PNRS-HOME DIALYSIS Doing business as

Member of 2

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

• Oregon Health & Science University

  dba OHSU Intercultural Psychiatric Program (OHSU IPP)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1851460638

  Member Of

  NPD member
• Renal Care Group Northwest, Inc.

  dba Fresenius Kidney Care Tacoma East

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
  • NPI 1154867638

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1083726988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105379",
            "telephone_number": "503-205-0320",
            "fax_number": "503-205-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105379",
            "telephone_number": "503-205-0320",
            "fax_number": "503-205-0641"
        }
    ],
    "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": "2006-08-31",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "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-HOME DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PNRS-HOME DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Neurosurgical PC
• Pacific Northwest Acupuncture&Herbal Clinic,LLC
• Pacific Northwest Behavioral Health, LLC (Pnwbh)
• Pacific Northwest Oncology Services
• Pacific Northwest Psychological Services
• Pacific Northwest Renal Services, L.L.C. (PNRS Hollywood Dialysis Center)
• Pacific Northwest Renal Services, L.L.C. (PNRS Emanuel)
• Pacific Northwest Renal Services, L.L.C. (: PNRS Rose Quarter Dialysis Center)
• Pacific Northwest Teletherapy
• Pacific Northwest Wellness LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.