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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1467903013


NPI Information

NPI: 1467903013
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Other Name: INTERSTATE MEDICAL OFFICE SOUTH

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (800) 813-2000
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a general practice in Portland, OR. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1467903013. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Interstate Medical Office South.

The provider's business location address is:

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-196
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 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.