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 TUALATIN KIDNEY CENTER

Practice address

7780 SW Mohawk St
Tualatin, OR 97062-9191

Phone

(971) 224-4000

Fax

(971) 224-4007

NPI assigned

Aug 31, 2006

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

James J. Divito

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• PNRS TUALATIN KIDNEY CENTER Doing business as

Member of 1

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

• Renal Care Group Northwest, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Aberdeen, WA
  • NPI 1245342146

  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": "1609113600000",
    "number": "1528170420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629191",
            "telephone_number": "971-224-4000",
            "fax_number": "971-224-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629191",
            "telephone_number": "971-224-4000",
            "fax_number": "971-224-4007"
        }
    ],
    "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": "2020-12-28",
        "certification_date": "2020-12-28",
        "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 TUALATIN KIDNEY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PNRS TUALATIN KIDNEY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• P Bowman LLC
• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Eye Group, PC
• Pacific Heart Associates, P.C.
• Pacific Medicine Consulting LLC
• Pacific Spine Specialists, LLC
• Pacot, Inc.
• Shannon Ramsay Padilla, CNM
• Michael Royce Paling, MD
• Sandra Kay Palmer, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tualatin, OR
• Providers in Tualatin, 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 Dec 28, 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.