Northwest Pediatric Kidney Specialists Llc
LBN: Northwest Pediatric Kidney Specialists Llc
Northwest Pediatric Kidney Specialists Llc is an health care organization with primary practice located at 1935 Nw Norfolk Ct , Portland OR 97229-8448. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as the primary health care specialty.
Northwest Pediatric Kidney Specialists Llc can be contacted via phone (503) 297-3178, or through Jenkins, Randall via phone (503) 297-3178.
Contact Information
Primary practice address
1935 Nw Norfolk Ct
Portland OR 97229-8448
Phone: (503) 297-3178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD12771 | Oregon |
Profile Details
| NPI number | 1801098108 |
|---|---|
| LBN Legal business name | Northwest Pediatric Kidney Specialists Llc |
| DBA Doing business as | |
| Authorized official | Jenkins, Randall Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | May 18th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801098108 | NPPES |
| Washington | MEDICAID | 7077415 | |
| Washington | MEDICAID | 080767 |
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