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.