| NPI | 1992398747 |
|---|---|
| Doing Business As | PNRS BEAVERTON DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES DIVITO VP 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-10-23 |