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NORTHWEST RENAL CLINIC, INC.
NPI 1982931333
Internal Medicine - Nephrology in Portland, OR

Active since November 05, 2009CLIA 38D1107523 · Microscopy
4224 NE HALSEY ST STE 300, PORTLAND, OR 97213(503) 235-5509(503) 235-5335 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, Jun 29, 2021 (2 updates tracked since 2021).

About Northwest Renal Clinic, Inc. NPPES

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

NORTHWEST RENAL CLINIC, INC. (NPI 1982931333) is a healthcare organization registered as a nephrology in Portland, Oregon and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through November 5, 2027 and lists Clayton M Smiley, Md, as its authorized official.

NPPES Registry Identity

NPI1982931333
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHWEST RENAL CLINIC, INC.
Location Address4224 NE HALSEY ST STE 300Portland, OR 97213-1568
Mailing Address1130 Nw 22nd Ave, Suite 640Portland, OR 97210-5488 · (503) 229-7976 · Fax (503) 274-4867
Phone(503) 235-5509
Fax(503) 235-5335
Organization SubpartNo
Authorized OfficialClayton M SmileyMd · (503) 229-7976
Enumeration DateNovember 5, 2009
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1982931333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
4224 NE HALSEY ST STE 300, Portland, OR 97213
Open in Google Maps ↗

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

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 for Provider-Performed Microscopy Procedures (PPMP) 38D1107523

Northwest Renal Clinic Inc · Portland, OR
Active · expires Nov 5, 2027
CLIA Number38D1107523
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorTodd Hilbelink MD
Laboratory Phone(503) 235-5509
Laboratory LocationNorthwest Renal Clinic Inc4224 NE Halsey St, Ste 300, Portland, OR 97213
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA THERESA SILVANO DE JESUS MD
Internal Medicine (Nephrology)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
TRICIA N JESPERSON DO
Internal Medicine (Nephrology)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
DANIEL JOSHUA ROBERTS MD
Internal Medicine (Nephrology)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
CLAIRE KASSAKIAN MD
Internal Medicine (Nephrology)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
TODD R HILBELINK MD
Internal Medicine (Nephrology)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
ERIN S BOLKEN PAC
Physician Assistant
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
DANIEL B HUTSON PAC
Physician Assistant (Medical)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509
GURVINDER S SURI MD
Internal Medicine (Nephrology)
4224 NE HALSEY ST STE 300
PORTLAND, OR 97213
Multnomah County (503) 235-5509

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 1982931333. It was assigned to this organization in the NPPES registry on November 5, 2009.

Where is Northwest Renal Clinic, Inc. located?

Northwest Renal Clinic, Inc. is located at 4224 NE Halsey St Ste 300, Portland, OR 97213. The listed phone number is (503) 235-5509.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Northwest Renal Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D1107523) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.