OrganizationActive
Northwest Renal Clinic, Inc.
NPI 1396924999 · Nephrology Physician · Portland, OR
Provider details
- NPI number
- 1396924999
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northwest Renal Clinic Inc
- Organization subpart
- Yes
- Authorized official
- Jonalyn Horsfall, Office Manager(503) 229-7976
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9701 Sw Barnes Road
Suite 110
Portland, OR 97225
Phone: (503) 595-6675
Fax: (503) 595-6679
Street-level locationGet directions
Mailing address
1130 Nw 22nd Avenue
Portland, OR 97210
Registry dates
- Enumerated
- 2007-10-31
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.