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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1992242093


NPI Information

NPI: 1992242093
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Other Name: WALKER ROAD DENTAL OFFICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12450 SW WALKER RD
BEAVERTON, OR
ZIP 97005
Phone: (800) 813-2000
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a general practice dentist in Beaverton, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1992242093. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Walker Road Dental Office.

The provider's business location address is:

12450 SW WALKER RD
BEAVERTON, OR
ZIP 97005-401
Phone: (800) 813-2000
Fax: (503) 240-3933

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 1/26/2017 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
11223G0001XDentistGeneral 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: 4/28/2024

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.