Total Renal Care Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

17-0073 Issued in OR

Legal business name

TOTAL RENAL CARE INC

Doing business as

West Linn Dialysis

Practice address

19056 Willamette Dr
West Linn, OR 97068-1715

Phone

(503) 636-0244

Fax

(503) 636-4246

NPI assigned

Jul 20, 2006

Last updated

Nov 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Linn Dialysis Doing business as

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1154341758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6814",
            "fax_number": "800-293-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19056 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681715",
            "telephone_number": "503-636-0244",
            "fax_number": "503-636-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OR",
            "license": "17-0073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27885",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Linn Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Linn Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah C Thrall, MDT CERT PT
• Timber Sports Medicine & Rehabilitation
• Andrew Tistadt, PA-C
• Todd Overman Psychological, LLC
• Tom B. Curtis DMD., PC
• Henry Tran, PHARMD
• Lawrence S Tremaine, DO
• David Michael Truckey, RN
• Lianna Tumbeiro Diaz
• Julio O Valdez-Nolasco, CSWA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Linn, OR
• Providers in West Linn, 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 Nov 29, 2018; 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.