NORTHWEST RENAL CLINIC, INC. – NPI #1396924999
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

NORTHWEST RENAL CLINIC, INC. is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1396924999 to NORTHWEST RENAL CLINIC, INC. on October 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 10 years ago on Aug 01, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWEST RENAL CLINIC, INC. below.

NPI Profile for
NORTHWEST RENAL CLINIC, INC.

NPI Number
1396924999
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST RENAL CLINIC, INC.
Primary location
9701 SW BARNES ROAD
SUITE 110
PORTLAND, OR 97225
Phone: (503) 595-6675 Fax: (503) 595-6679
Mailing address
1130 NW 22ND AVENUE
SUITE 640
PORTLAND, OR 97210
Phone: (503) 229-7976 Fax: (503) 274-4867
Organization Subpart
Yes - NORTHWEST RENAL CLINIC, INC. is subpart of another organization.
Authorized Official
JONALYN HORSFALL
OFFICE MANAGER
Phone: (503) 229-7976
Updated
Identifiers

Identifiers for NORTHWEST RENAL CLINIC, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR119297
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.