FRESENIUS MEDICAL CARE MAYWOOD PARK
NPI 1023367893
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Portland, OR

Q: What is Rose City Dialysis, LLC's NPI number?

The NPI number for Rose City Dialysis, LLC is 1023367893. It was assigned to this organization in the NPPES registry on September 7, 2012. The provider is doing business as Fresenius Medical Care Maywood Park.

Q: What is Rose City Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Rose City Dialysis, LLC have?

CMS rates FMC Maywood Park 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since September 07, 2012CLIA 38D2050387 · Waiver

2/5

Overall Rating

11909 NE GLENN WIDING DR, PORTLAND, OR 97220(503) 255-3464(503) 254-6160 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Aug 2, 2021, Jan 19, 2018 (3 updates tracked since 2018).

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About Fresenius Medical Care Maywood Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESENIUS MEDICAL CARE MAYWOOD PARK (NPI 1023367893) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Portland, Oregon and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023367893

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameROSE CITY DIALYSIS, LLC

Location Address11909 NE GLENN WIDING DRPortland, OR 97220-9099

Mailing Address11909 Ne Glenn Widing DrPortland, OR 97220-9099 · (503) 255-3464 · Fax (503) 254-6160

Phone(503) 255-3464

Fax(503) 254-6160

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateSeptember 7, 2012

Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1023367893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

11909 NE GLENN WIDING DR, Portland, OR 97220

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Other Names 1

Doing Business AsFresenius Medical Care Maywood Park

Other Identifiers 1

Other38-2561OR · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2050387

Rose City Dialysis LLC Dba Fresenius Maywood Park · Portland, OR

Active · expires Nov 26, 2026

CLIA Number38D2050387

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateNovember 27, 2024

Certificate Expiration DateNovember 26, 2026

Laboratory DirectorStanley M Bower

Laboratory Phone(503) 255-3464

Laboratory LocationRose City Dialysis LLC Dba Fresenius Maywood Park11909 NE Glenn Widing Drive, Portland, OR 97220

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for FMC Maywood Park (CMS certification number 382561), from CMS Care Compare.

FMC Maywood Park

Dialysis facility · Portland, OR

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainFresenius Medical Care

CMS Certification Number382561

ESRD NetworkNetwork 16

Hemodialysis Stations21

Medicare-Certified SinceJanuary 9, 2013

Location11909 NE GLENN WIDING DRPortland, OR 97220 · Multnomah County

Phone(503) 255-3464

Services Offered

In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose City Dialysis, LLC's NPI number?

The NPI number for Rose City Dialysis, LLC is 1023367893. It was assigned to this organization in the NPPES registry on September 7, 2012. The provider is doing business as Fresenius Medical Care Maywood Park.

Where is Rose City Dialysis, LLC located?

Rose City Dialysis, LLC is located at 11909 NE Glenn Widing Dr, Portland, OR 97220. The listed phone number is (503) 255-3464.

What is Rose City Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Rose City Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2050387) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rose City Dialysis, LLC a Medicare-certified dialysis facility?

Yes. FMC Maywood Park is a Medicare-certified dialysis facility, certified since January 9, 2013.

What quality rating does Rose City Dialysis, LLC have?

CMS rates FMC Maywood Park 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Rose City Dialysis, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Rose City Dialysis, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose City Dialysis, LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.