NPI 1790855104

Kaiser Permanente

Organisation Health Maintenance Organization Vancouver, WA

Practice location

Address: 14406 NE 20th Ave, Vancouver, WA 98686-1448
Phone: (360) 571-3081
Mailing address: 2407 NE 165th St, Ridgefield, WA 98642-7953

Authorised official

Name: Corinna Frikken
Title: Optician
Phone: (360) 571-3081

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1790855104
Entity type: Organization
NPI issued: 9 Nov 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.