NPIMap

Organization Active NPI

Oregon Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Portland, OR
National Provider Identifier
1922037902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
OREGON KIDNEY CENTER
Practice address
5318 NE Irving St
Portland, OR 97213-3158
Phone
(503) 284-1939
Fax
(503) 284-3991
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Peterson
Title
Collections Supervisor
Phone
(520) 584-4228

Specialties & licenses 1

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

Addresses

Primary practice location

5318 NE Irving St
Portland, OR 97213-3158

Mailing address

P.O. Box 52432
Tempe, AZ 85072-2432
Phone (520) 751-0616

National Provider Directory

National Provider Directory
Tax ID family
Oregon Kidney Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922037902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 52432",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "850722432",
            "telephone_number": "520-751-0616",
            "fax_number": "520-751-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 NE IRVING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133158",
            "telephone_number": "503-284-1939",
            "fax_number": "503-284-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COLLECTIONS SUPERVISOR",
        "authorized_official_telephone_number": "520-584-4228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.