NPI 1003437245

Kaiser Foundation Health Plan of the Northwest

Organisation Dentist Keizer, OR

Practice location

Address: 5910 Ulali Dr NE, Keizer, OR 97303-1500
Phone: (800) 813-2000
Mailing address: 500 NE Multnomah St, Portland, OR 97232-2023

Authorised official

Name: Stephen Shawn Barton
Title: Executive Director, Revenue Cycle
Phone: (800) 813-2000

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003437245
Entity type: Organization
NPI issued: 28 Apr 2020
Record last updated: 23 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.