OrganizationActive
Isd Renal Inc
NPI 1700832318 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Milwaukie, OR
Provider details
- NPI number
- 1700832318
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6902 Se Lake Rd
Ste 100
Milwaukie, OR 97267-2148
Phone: (503) 794-1288
Fax: (503) 794-5916
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Lake Road Dialysis
- Doing business as
- Lake Road Dialysis
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.