| NPI | 1780228544 |
|---|---|
| Doing Business As | ISLAND KIDNEY CARE |
| Entity Type | Organization |
| Authorized Contact | CLAYTON MICHAEL SMILEY President / Md 503-229-7976 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-05 |