NPI 1922559764
Kaiser Permanante
Practice location
- Address
- 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
- Phone
- (503) 652-2880
- Mailing address
- 6935 N Richmond Ave, Portland, OR 97203-4933
Authorised official
- Name
- Alexander Shybut
- Title
- Milieu Counselor
- Phone
- (503) 652-2880
Registered specialties
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1922559764
- Entity type
- Organization
- NPI issued
- 17 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.