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NORTHWEST DIALYSIS ACCESS CENTER
NPI 1164946984
Clinic/Center - Ambulatory Surgical in Portland, OR

Active since August 02, 2017CLIA Certified · 5 labs
9701 SW BARNES RD STE 110, PORTLAND, OR 97225(503) 595-6675(503) 595-6679 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Aug 2, 2017 (2 updates tracked since 2017).

About Northwest Dialysis Access Center NPPES

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

NORTHWEST DIALYSIS ACCESS CENTER (NPI 1164946984) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since August 2017. The organization holds 5 active CLIA laboratory certificates and lists Clayton M Smiley, Md, as its authorized official.

NPPES Registry Identity

NPI1164946984
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHWEST RENAL CLINIC, INC.
Location Address9701 SW BARNES RD STE 110Portland, OR 97225-6774
Mailing Address1130 Nw 22nd Ave Ste 640Portland, OR 97210-2993 · (503) 229-7976 · Fax (503) 274-4867
Phone(503) 595-6675
Fax(503) 595-6679
Organization SubpartYes
Authorized OfficialClayton M SmileyMd · (503) 229-7976
Enumeration DateAugust 2, 2017
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1164946984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9701 SW BARNES RD STE 110, Portland, OR 97225
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthwest Dialysis Access Center

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 5

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 for Provider-Performed Microscopy Procedures (PPMP) 38D0690386

Northwest Renal Clinic · Portland, OR
Active · expires Dec 30, 2027
CLIA Number38D0690386
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorDr. Clayton M. Smiley
Laboratory Phone(503) 229-7976
Laboratory LocationNorthwest Renal Clinic1130 NW 22nd Ave Ste 640, Portland, OR 97210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 38D1058474

Northwest Dialysis Access Center · Portland, OR
Active · expires Nov 30, 2026
CLIA Number38D1058474
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorHem A. Deodhar
Laboratory Phone(503) 595-6675
Laboratory LocationNorthwest Dialysis Access Center9701 SW Barnes Rd, Ste 110, Portland, OR 97225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0871643

Northwest Renal Clinic Inc Laboratory · Tualatin, OR
Active · expires Dec 31, 2027
CLIA Number38D0871643
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorShukri A Osman MD
Laboratory Phone(503) 229-7976
Laboratory LocationNorthwest Renal Clinic Inc Laboratory8050 SW Warm Springs Road Suite 150, Tualatin, OR 97062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2096405

Northwest Renal Clinic, Inc · Hillsboro, OR
Active · expires May 21, 2027
CLIA Number38D2096405
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorNicole M. Kemper
Laboratory Phone(503) 229-7976
Laboratory LocationNorthwest Renal Clinic, Inc730 SE Oak Street Suite 1, Hillsboro, OR 97123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 38D2315837

Northwest Renal Clinic, Inc · Mcminnville, OR
Active · expires Dec 18, 2026
CLIA Number38D2315837
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorRyan Griffiths
Laboratory Phone(503) 229-7976
Laboratory LocationNorthwest Renal Clinic, Inc232 NE Norton Lane, Mcminnville, OR 97128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
231 services122 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
67 services57 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
58 services58 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905
This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
36 services26 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
24 services22 patients

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 Northwest Renal Clinic, Inc.'s NPI number?

The NPI number for Northwest Renal Clinic, Inc. is 1164946984. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Northwest Dialysis Access Center.

Where is Northwest Renal Clinic, Inc. located?

Northwest Renal Clinic, Inc. is located at 9701 SW Barnes Rd Ste 110, Portland, OR 97225. The listed phone number is (503) 595-6675.

What is Northwest Renal Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northwest Renal Clinic, Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northwest Renal Clinic, Inc. accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Northwest Renal Clinic, Inc. 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 Northwest Renal Clinic, Inc. was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.