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Active NPI 1932568912 Organization (Entity Type 2)

Atchison Dialysis, Llc

Clinic/Center - End-Stage Renal Disease (ESRD) Treatment • Gresham, OR

About Atchison Dialysis, Llc NPI 1932568912 Summary

Atchison Dialysis, Llc is a verified healthcare organization specializing in Clinic/Center - End-Stage Renal Disease (ESRD) Treatment operating in Gresham, OR. Located at 878 NW BURNSIDE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1932568912.

Administrative operations and authorized compliance are overseen by Samuel Wey (Vp Licensure & Certification).

Facility Location & Contact Primary Location

Facility Address

878 Nw Burnside Rd

Gresham, OR 97030

Telephone 5034651068

Fax 5034919229

Authorized Official Information

Authorized Contact Name

Samuel Wey

Title / Role

Vp Licensure & Certification

Official Telephone

6153416641

Facility Classifications & Specialties

Clinic/Center - End-Stage Renal Disease (ESRD) Treatment Primary Taxonomy

NUCC Taxonomy Code: 261QE0700X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

13 Historical Events

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Updated Practice Location June 18, 2018

Registered at 878 NW BURNSIDE RD, GRESHAM, OR 97030 (Tel: 5034651068)

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Updated Business Mailing Address June 18, 2018

Registered at 5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 370277569 (Tel: 6153416379)

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NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 06, 2018

Registered at 878 NW BURNSIDE RD, GRESHAM, OR 970303718 (Tel: 5034651068)

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Updated Business Mailing Address February 06, 2018

Registered at 5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 370277569 (Tel: 6153416398)

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Organization / Clinic Name Updated February 06, 2018

Operating as ATCHISON DIALYSIS, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Clinic/Center

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NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2016

Registered at 878 NW BURNSIDE RD, GRESHAM, OR 970303718 (Tel: 5034651068)

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Updated Business Mailing Address December 20, 2016

Registered at 5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 370277569 (Tel: 6153416398)

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Organization / Clinic Name Updated December 20, 2016

Operating as ATCHISON DIALYSIS, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Clinic/Center

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Initial NPI Registration & Enumeration February 18, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1932568912

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: February 18, 2016

Last Update: December 08, 2025

Update or Correct Listing

Mailing Address

5200 Virginia Way, L&c Department

Brentwood, TN 370277569

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.