Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Portland Peritoneal Center, Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1437121704

Portland Peritoneal Center, Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10595 SE Stark St
Portland, OR 97216-2747
Phone: (503) 252-0019
Fax: (503) 252-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence 394020 (OR)

Record details

NPI number1437121704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Green — Secretary · (562) 495-8075
Other names Portland Dialysis Center
NPI enumeratedFebruary 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1 World Trade Ctr, 2500, Long Beach, CA 90831-0002

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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