NPI 1104378140

Kaiser Foundation Health Plan of the Northwest

Organisation General Practice Physician Portland, OR

Practice location

Address: 12100 SE Stevens CT Suite 106, Portland, OR 97086-4707
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 (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oregon →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Oregon →

Technician/Technologist

Eye and Vision Services Providers Taxonomy 156F00000X

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1104378140
Entity type: Organization
NPI issued: 25 Oct 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.