| NPI | 1437121704 |
|---|---|
| Doing Business As | PORTLAND DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY GREEN Secretary 562-495-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OR 394020) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |