Fresenius Medical Care West Portland Dialysis Services, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE WEST PORTLAND DIALYSIS SERVICES, LLC

Practice address

7780 SW Mohawk St
Tualatin, OR 97062-9191

Phone

(971) 224-4000

Fax

(971) 224-4007

NPI assigned

Feb 12, 2021

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

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• PNRS TUALATIN KIDNEY CENTER Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fresenius Medical Care West Portland Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beaverton, OR
  • NPI 1225621006

  7315335734

  Same PAC ID
• Fresenius Medical Care West Portland Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beaverton, OR
  • NPI 1992398747

  7315335734

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fresenius Medical Care West Portland Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beaverton, OR
  • NPI 1225621006
  NPD tax ID
• Fresenius Medical Care West Portland Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beaverton, OR
  • NPI 1992398747
  NPD tax ID

Member of 2

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

• Fresenius Medical Care Dialysis Services - Oregon, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Redmond, OR
  • NPI 1306943790

  Member Of

  NPD member
• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas M Kennefick, MD

  • Nephrology Physician
  • Portland, OR
  • NPI 1639148737
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1770176547",
    "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": "FRESENIUS MEDICAL CARE WEST PORTLAND DIALYSIS SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PNRS TUALATIN KIDNEY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Franz, MS CCC-SLP
• April Lenette Franzwa, FNP-C, PMHNP-BC
• Teresa Freckleton
• Fred Meyer Stores Inc
• Corona M Freitag, M.D.
• Justin Friend, LMT
• Xinyu Steve Fu, M.D.
• Jeffrey D Fullman, MD
• Raelin Fullmer I
• Melissa Gaerisch, DPT

• 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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.