Whalio Doctors

NPI 1083166219

Kaiser Foundation Health Plan of the Northwest

Organisation General Practice Dentistry Beaverton, OR

Practice location

Address
4855 SW Western Ave, Beaverton, OR 97005-3460
Phone
(800) 813-2000
Fax
(503) 286-6879
Mailing address
500 NE Multnomah St, Portland, OR 97232-2023

Authorised official

Name
Kenneth R Wright
Title
Vp Dental Care Services
Phone
(503) 813-4660

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X

Registry record

NPI
1083166219
Entity type
Organization
NPI issued
4 Nov 2016
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.