NORTHWEST RENAL CLINIC, INC.
NPI 1528036662
Internal Medicine - Nephrology in Portland, OR
NPI Status: Active since March 14, 2006
Contact Information
1130 NW 22ND AVE STE 640
PORTLAND, OR
ZIP 97210
Phone: (503) 229-7976
Fax: (503) 274-4867
- Organization
- Internal Medicine
- Nephrology
- Accepts Insurance
- CLIA Number: 38D2123346
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-18-2026
About NORTHWEST RENAL CLINIC, INC.
This page provides the complete NPI Profile along with additional information for Northwest Renal Clinic, Inc., an internist established in Portland, Oregon operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1528036662 assigned on March 2006. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Clayton M Smiley Md (Md)
- NPI
- 1528036662
- Provider Name
- NORTHWEST RENAL CLINIC, INC.
- Entity Type
- Organization
- Location Address
- 1130 NW 22ND AVE STE 640 PORTLAND, OR 97210
- Location Phone
- (503) 229-7976
- Location Fax
- (503) 274-4867
- Mailing Address
- PO BOX 3068 PORTLAND, OR 97208
- Mailing Phone
- (503) 229-7976
- Mailing Fax
- (503) 274-4867
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2006
- Last Update Date
- 09-25-2025
- Code Navigator
An internist like Northwest Renal Clinic, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 232 NE Norton Ln
McMinnville, OR 97128
(503) 434-1159 - 12550 SE 93rd Ave Ste 250
Clackamas, OR 97015
(503) 654-1153 - 4473 Pahee St Ste L
Lihue, HI 96766
(808) 632-0200 - 633 Ponahawai St Ste 103
Hilo, HI 96720
(808) 481-2300 - 8050 SW Warm Springs St Ste 150
Tualatin, OR 97062
(503) 692-7971 - 9155 SW Barnes Rd Ste 402
Portland, OR 97225
(503) 292-7704 - 730 SE Oak St Ste I
Hillsboro, OR 97123
(503) 430-0497 - 4224 NE Halsey St Ste 300
Portland, OR 97213
(503) 235-5509 - 10201 SE Main St Ste 27
Portland, OR 97216
(503) 256-0877 - 105 Maui Lani Pkwy Ste 100
Wailuku, HI 96793
(808) 442-7777 - 925 Commercial St SE Ste 110
Salem, OR 97302
(503) 967-6670
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMSA Bronze PPO I - PPO
- HMSA Bronze PPO II HSA - PPO
- HMSA Catastrophic Plan - PPO
- HMSA Gold PPO I - PPO
- HMSA Gold PPO II - PPO
- HMSA Platinum PPO - PPO
- HMSA Silver PPO - PPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1029926 | MEDICAID (05) | WA | |
| 500400267 | MEDICAID (05) | OR | |
| 800151 | MEDICAID (05) | HI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2123346
- Facility Type
- Physician Office
- Certificate Effective Date
- December 19, 2024
- Certificate Expiration Date
- December 18, 2026
- Laboratory Director
- TRICIA N. JESPERSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northwest Renal Clinic, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528036662, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528036662, enumerated as an "organization" on March 14, 2006.
The provider is located at 1130 NW 22ND AVE STE 640 PORTLAND, OR 97210 and the phone number is (503) 229-7976.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: HMSA, Moda Health Plan, Inc., Providence Health. Please consult your insurance carrier or call the provider to verify.
