EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC
Ambulatory Health at Washington St, Portland, OR

License number
Oregon 394016
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: THOMAS L. WEINBERG
Title: AUTHORIZED OFFICIAL
Phone: (214) 736-2700
Address
Address 2
10802 SE Washington St, Portland, OR 97216
5851 Legacy Cir STE 900, Plano, TX 75024
National Provider ID: 1093786782
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC at bizstanding.com

EAST PORTLAND PERITONEAL DIALYSIS CLINIC, LLC

Attn Legal DEPT 2400 DALLAS PARKWAY STE 350, Plano, TX 75093

Registration:
Mar 15, 2004
State ID:
20716692
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
C T Corporation System,388 State St STE 420, Salem, OR 97301 (Physical)

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