| Lake Road Nephrology Center | |
|
6902 Se Lake Rd Suite 100 Milwaukie OR 97267-2148 | |
| (800) 813-2000 | |
| (503) 286-6879 |
| Full Name | Lake Road Nephrology Center |
|---|---|
| Speciality | General Practice |
| Location | 6902 Se Lake Rd, Milwaukie, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Road Nephrology Center 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Lake Road Nephrology Center 6902 Se Lake Rd Suite 100 Milwaukie OR 97267-2148 Ph: (800) 813-2000 |
| NPI Number | 1700337870 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700337870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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