OrganizationActive
Olympic Peninsula Kidney Center
NPI 1386694099 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Port Orchard, WA
Provider details
- NPI number
- 1386694099
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katrina Russell, Administrator(206) 915-9502
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
450 S Kitsap Blvd
Suite 178
Port Orchard, WA 98366-3773
Phone: (360) 895-7795
Fax: (360) 895-7835
Approximate (ZIP-level) locationGet directions
Mailing address
450 S Kitsap Blvd
Port Orchard, WA 98366-3773
Other names (DBA / former)
- Doing business as
- Olympic Peninsula Kidney Center South
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2009-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.