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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1093043424


NPI Information

NPI: 1093043424
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: INTERSTATE RADIATION ONCOLOGY

Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
3620 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 280-2931
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is an oncology and radiation clinic center in Portland, OR. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1093043424. The provider is registered as an organization entity type.
The provider Is Doing Business As Interstate Radiation Oncology.

The provider's business location address is:

3620 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-106
Phone: (503) 280-2931

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 11/23/2009 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
1261QX0203XClinic/CenterOncology, RadiationYes

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

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