The Totem Lake Kidney Center is one of the medical care facilities of Northwest Kidney Centers, which provides dialysis care services to patients in King and Clallam counties in Washington. Founded in 1962, the nonprofit parent organization operates more than 12 dialysis centers and over 10 hospitals. Northwest Kidney Centers offers one of the largest home hemodialysis programs in the United States. The organization s centers specialize in outpatient treatment and peritoneal and acute dialysis services for hospitalized patients. Its centers also provide hemoperfusion, pump ultrafiltration and renal replacement therapy solutions. Northwest Kidney Centers additionally offers counseling and educational services to patients and their families. The organization operates Northwest Kidney Centers Pharmacy, which was established in 1989.