Fresenius Medical Care Maywood Park

LBN: Rose City Dialysis, Llc
Fresenius Medical Care Maywood Park is an health care organization with primary practice located at 11909 Ne Glenn Widing Dr , Portland OR 97220-9099. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Rose City Dialysis, Llc can be contacted via phone (503) 255-3464, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
11909 Ne Glenn Widing Dr Portland OR 97220-9099
Phone: (503) 255-3464
Fax: (503) 254-6160
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1023367893
LBN Legal business name Rose City Dialysis, Llc
DBA Doing business as Fresenius Medical Care Maywood Park
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 7th, 2012
Last updated Oct 17th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023367893 NPPES
Oregon Other 38-2561 PTAN

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