NPI | 1164946984 |
---|---|
Doing Business As | NORTHWEST DIALYSIS ACCESS CENTER |
Entity Type | Organization |
Authorized Contact | CLAYTON M SMILEY Md 503-229-7976 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2017-08-02 |
Last Update Date | 2023-07-12 |