| Organization Name: | DIALYSIS CENTERS OF OREGON, LLC |
| NPI Number: | 1316918428 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY GREEN (SECRETARY) |
| Mailing Address: | 2817 Ne West Devils Lake Rd Lincoln City |
| State: | OR US |
| Postal Code: | 973675128 |
| Phone Number: | 5419949463 |
| Fax Number: | 5419949364 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 394018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |