Delivering high quality, patient-centered, compassionate, and evidence-based care to patients with acute and chronic kidney disease who require dialysis therapy.

UW Outpatient Dialysis Program

A tradition of excellence

Long term outpatient dialysis for kidney failure began in Seattle by our first UW nephrology division head, Dr. Belding H. Scribner. We continue to uphold the tradition of excellence and innovation in providing dialysis care to patients with kidney failure in our community.

B.H. Scribner
Dr. Belding H. Scribner

 Our team of providers oversee the care of patients who receive long-term dialysis in community-based facilities in the greater Seattle area, whether in-center hemodialysis, peritoneal dialysis or home hemodialysis. We care for many patients within the dialysis facilities without requiring them to come to our offices.

Community Leaders

Several of our physicians serve as leaders in the care of dialysis patients in our community – one leads the Kidney Palliative Care Program providing palliative care to patients undergoing dialysis in Northwest Kidney Centers facilities, one is vice chair of the Medical Executive Committee of the Northwest Kidney Centers, and three serve as Medical Directors of dialysis facilities.

Training and Education

The physicians, advanced practice providers, nurses and administrators in our dialysis practice meet regularly to share complex problems our patients are experiencing, and review the literature to ensure our practice remains at the cutting edge of providing treatment for our patients.

We are committed to training the next generation of nephrologists in the science and the art of delivering medical care to patients undergoing long-term dialysis. Training in management of patients undergoing long-term dialysis is a key component of the two-year fellowship in nephrology. In addition, we offer the opportunity for trainees to do an advanced clinical research specialty fellowship in the basics of public health policy, with reference to kidney disease and a focus on home dialysis, in the year-long Peckham Policy Leadership and Home Dialysis Fellowship.

Dialysis Program Medical Directors

Matthew Rivara, MD

Matthew Rivara, MD
Director, Outpatient Dialysis, University of Washington
Vice Chair, Medical Executive Committee, Northwest Kidney Centers

Medical Director, Broadway and Elliott Bay Kidney Centers


Daniel Lam, MD

Daniel Lam, MD
Medical Director, Harborview Medical Center Palliative Care Services
Palliative Care Medical Advisor, Northwest Kidney Centers



M. Brendan Shannon, MD
Medical Director, Scribner Kidney Center