| NPI | 1700337870 |
|---|---|
| Other Name | LAKE ROAD NEPHROLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2021-06-01 |