NPI 1124134127
Kaiser Permanente
Practice location
- Address
- 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
- Phone
- (503) 652-2880
- Mailing address
- 2985 SW Christy Ave, Beaverton, OR 97005-1520
Authorised official
- Name
- Jill Jeppson Johnson
- Title
- Crisis Intervention Specialist
- Phone
- (503) 643-4867
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1124134127
- Entity type
- Organization
- NPI issued
- 22 Aug 2006
- Record last updated
- 22 Aug 2020
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.