NPIMap

Organization Active NPI

Pacific Northwest Renal Services, L.L.C.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sandy, OR
National Provider Identifier
1962242552
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Practice address
37139 Highway 26
Sandy, OR 97055-7271
Phone
(503) 826-1352
Fax
(505) 826-0810
NPI assigned
May 30, 2024
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Barry Blanton
Title
VP
Phone
(214) 445-3010

Specialties & licenses 1

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

Addresses

Primary practice location

37139 Highway 26
Sandy, OR 97055-7271

Mailing address

37139 Highway 26
Sandy, OR 97055-7271
Phone (503) 826-1352

Other names 1

  • Fresenius Medical Care Sandy Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Northwest Renal Services LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

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

Locations

2120 Exchange St
Ste A
Astoria, OR 97103
Phone (503) 338-3885

632 Marine Dr
Astoria, OR 97103
Phone (503) 320-0809

2715 SW 153rd Dr
Beaverton, OR 97003
Phone (503) 520-1363

12785 SW Jenkins Rd
Beaverton, OR 97005
Phone (503) 520-1363

2300 SW 6th Ave
Portland, OR 97201
Phone (503) 221-4932

2701 NW Vaughn St
Ste 150
Portland, OR 97210
Phone (503) 229-8455

2801 N Gantenbein Ave
Rm 4400
Portland, OR 97227
Phone (503) 413-4346

37139 Highway 26
Sandy, OR 97055
Phone (503) 826-1352

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1962242552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37139 HIGHWAY 26",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557271",
            "telephone_number": "503-826-1352",
            "fax_number": "505-826-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37139 HIGHWAY 26",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557271",
            "telephone_number": "503-826-1352",
            "fax_number": "505-826-0810"
        }
    ],
    "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": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "214-445-3010"
    },
    "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": "Fresenius Medical Care Sandy Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.