NORTHWEST RENAL CLINIC, INC. – Nephrology Physician, NPI 1679752273
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NORTHWEST RENAL CLINIC, INC.
1130, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States
SUITE 640
PORTLAND, OR 97210
Phone: (503) 229-7976
Fax: (503) 274-4867
Type: Mailing
8050, Southwest Warm Springs Street, Tualatin, Metro, Washington County, Oregon, 97062, United States
SUITE 150
TUALATIN, OR 970627424
Phone: (503) 692-7971
Fax: (503) 691-6837
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-04-29
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97210)
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