OrganizationActive
Isd Renal Inc
NPI 1548552003 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beaverton, OR
Provider details
- NPI number
- 1548552003
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
1700 Nw 167th Pl Ste 230
Beaverton, OR 97006-4872
Phone: (503) 439-8829
Fax: (503) 439-9942
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2011-05-03
- Last updated
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.