OrganizationActive
Portland Peritoneal Center, Inc.
NPI 1437121704 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Portland, OR
Provider details
- NPI number
- 1437121704
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Green, Secretary(562) 495-8075
- License
- 394020 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
10595 Se Stark St
Portland, OR 97216-2747
Phone: (503) 252-0019
Fax: (503) 252-0068
Street-level locationGet directions
Mailing address
1 World Trade Ctr
Long Beach, CA 90831-0002
Other names (DBA / former)
- Doing business as
- Portland Dialysis Center
Registry dates
- Enumerated
- 2006-02-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.