KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1063990695

NPI Information

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a general practice in Portland, OR. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1063990695. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Care Essentials By Kaiser Permanente - Hawthorne.

The provider's business location address is:

3060 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214-121
Phone: (800) 813-2000
Fax: (503) 286-6879

The provider's authorized official is Stephen Shawn Barton .
The authorized official title is Executive Director, Revenue Cycle and has the following contact phone number (503) 813-2440.

The enumeration date for this NPI number is 8/6/2018 and was last updated on 6/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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