Whalio Doctors

NPI 1063990695

Kaiser Foundation Health Plan of the Northwest

Organisation General Practice Physician Portland, OR

Practice location

Address
3060 SE Hawthorne Blvd, Portland, OR 97214-4121
Phone
(800) 813-2000
Fax
(503) 286-6879
Mailing address
500 NE Multnomah St, Portland, OR 97232-2023

Authorised official

Name
Stephen Shawn Barton
Title
Executive Director, Revenue Cycle
Phone
(503) 813-2440

Registered specialties (4)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X

Registry record

NPI
1063990695
Entity type
Organization
NPI issued
6 Aug 2018
Record last updated
1 Jun 2021

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.