NORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC
NPI 1801098108
Pediatrics - Pediatric Nephrology in Portland, OR

Q: What is Northwest Pediatric Kidney Specialists LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Active since May 31, 2007

1935 NW NORFOLK CT, PORTLAND, OR 97229(503) 297-3178 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northwest Pediatric Kidney Specialists Llc NPPES

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

NORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC (NPI 1801098108) is a healthcare organization registered as a pediatric nephrology in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Randall Jenkins, Doctor, as its authorized official.

NPPES Registry Identity

NPI1801098108

Entity TypeOrganization

Primary Taxonomy2080P0210X

Legal Business NameNORTHWEST PEDIATRIC KIDNEY SPECIALISTS LLC

Location Address1935 NW NORFOLK CTPortland, OR 97229-8448

Mailing Address1935 Nw Norfolk CtPortland, OR 97229-8448 · (503) 297-3178

Phone(503) 297-3178

Organization SubpartNo

Authorized OfficialRandall JenkinsDoctor · (503) 297-3178

Enumeration DateMay 31, 2007

Last NPPES UpdateMay 18, 2012

✔ NPI 1801098108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in OR · MD12771

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

1935 NW NORFOLK CT, Portland, OR 97229

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Other Identifiers 3

Medicaid080767OR

Medicaid7077415WA

Medicare PIN0000WFBRHOR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pediatric Kidney Specialists LLC's NPI number?

The NPI number for Northwest Pediatric Kidney Specialists LLC is 1801098108. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Northwest Pediatric Kidney Specialists LLC located?

Northwest Pediatric Kidney Specialists LLC is located at 1935 NW Norfolk Ct, Portland, OR 97229. The listed phone number is (503) 297-3178.

What is Northwest Pediatric Kidney Specialists LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

When was this NPI record last updated?

The NPPES record for Northwest Pediatric Kidney Specialists LLC was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.