OrganizationActive
Pacific Northwest Renal Services, L.L.C.
NPI 1437261336 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Clackamas, OR
Provider details
- NPI number
- 1437261336
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Fawcett, Treasurer(781) 402-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
13560 Se 97th Ave
Clackamas, OR 97015-7691
Phone: (503) 659-8200
Street-level locationGet directions
Mailing address
13560 Se 97th Ave
Clackamas, OR 97015-7691
Other names (DBA / former)
- Doing business as
- Pnrs-Clackamas Kidney Center
Registry dates
- Enumerated
- 2006-08-31
- 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.