KAISER FOUNDATION HEALTH PLAN OF THE NW NPI 1386195931

NPI Information

KAISER FOUNDATION HEALTH PLAN OF THE NW is a general practice in Portland, OR. KAISER FOUNDATION HEALTH PLAN OF THE NW NPI is 1386195931. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Beaverton Medical Office.

The provider's business location address is:

500 NE MULTNOMAH ST
PORTLAND, OR
ZIP 97232-023
Phone: (503) 813-2440
Fax: (503) 813-2507

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 10/19/2016 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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