OrganizationActive
Isd Renal Inc
NPI 1629024021 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Portland, OR
Provider details
- NPI number
- 1629024021
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Hilger, Chief Accounting Officer(253) 733-4500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
703 Ne Hancock St
Portland, OR 97212-3955
Phone: (503) 493-3322
Fax: (503) 287-9434
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Northeast Portland Renal Center
- Doing business as
- Northeast Portland Renal Center
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2019-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.