OrganizationActive
Northwest Pediatric Kidney Specialists LLC
NPI 1801098108 · Pediatric Nephrology Physician · Portland, OR
Provider details
- NPI number
- 1801098108
- Entity type
- Organization
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Jenkins, Doctor(503) 297-3178
- License
- MD12771 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1935 Nw Norfolk Ct
Portland, OR 97229-8448
Phone: (503) 297-3178
Approximate (ZIP-level) locationGet directions
Mailing address
1935 Nw Norfolk Ct
Portland, OR 97229-8448
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2012-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.