Organization Active NPI

Northwest Kidney Centers Oregon LLC

Doing business as Portland Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Portland, OR
National Provider Identifier
1124954839
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORTHWEST KIDNEY CENTERS OREGON LLC
Doing business as
Portland Kidney Center
Practice address
3514 NE Sandy Blvd
Portland, OR 97232-1961
Phone
(206) 292-2771
NPI assigned
Jun 20, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST KIDNEY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Heather J Thomasson
Title
Chief Nursing Officer
Phone
(206) 720-3855

Specialties & licenses 1

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

Addresses

Primary practice location

3514 NE Sandy Blvd
Portland, OR 97232-1961

Mailing address

12901 20TH Ave S
Seatac, WA 98168-5159
Phone (206) 292-2771

Other names 1

  • Portland Kidney Center Doing business as

National Provider Directory

National Provider Directory
Part of
NW Kidney Center Physician

Locations

3514 NE Sandy Blvd
Portland, OR 97232
Phone (503) 236-7097

NPI Registry JSON

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

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1124954839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 20TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981685159",
            "telephone_number": "206-292-2771",
            "fax_number": "206-860-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321961",
            "telephone_number": "206-292-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KIDNEY CENTERS OREGON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST KIDNEY CENTERS",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "THOMASSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "206-720-3855"
    },
    "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": "Portland Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.