Cornell Road Dialysis

LBN: Isd Renal Inc
Cornell Road Dialysis is an health care organization with primary practice located at 1700 Nw 167Th Pl Ste 230 , Beaverton OR 97006-4872. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Isd Renal Inc can be contacted via phone (503) 439-8829, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
1700 Nw 167Th Pl Ste 230 Beaverton OR 97006-4872
Phone: (503) 439-8829
Fax: (503) 439-9942
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1548552003
LBN Legal business name Isd Renal Inc
DBA Doing business as Cornell Road Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2011
Last updated Jun 28th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548552003 NPPES
Oregon MEDICAID 500644442

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