U.S. Renal Care Portland Dialysis

LBN: Rsa - Portland, Llc
U.S. Renal Care Portland Dialysis is an health care organization with primary practice located at 10595 Se Stark St , Portland OR 97216-2747. 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. Rsa - Portland, Llc can be contacted via phone (503) 252-0019, or through Weinberg, Thomas L. via phone (214) 736-2700.

Contact Information

Primary practice address
10595 Se Stark St Portland OR 97216-2747
Phone: (503) 252-0019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weinberg, Thomas L.
Phone: (214) 736-2700

Health care specialties

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

Profile Details

NPI number 1629253711
LBN Legal business name Rsa - Portland, Llc
DBA Doing business as U.S. Renal Care Portland Dialysis
Authorized official Weinberg, Thomas L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2008
Last updated Oct 25th, 2013 - about 11 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 1629253711 NPPES
Oregon MEDICAID 218630

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