KAISER PERMANENTE NPI 1689776916

NPI Information

  • NPI: 1689776916
  • Provider Name: KAISER PERMANENTE
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • CLIA Number: 50D0637505
  • Address: 1230 7TH AVE
    LONGVIEW, WA
    ZIP 98632
  • Phone: (360) 636-6235

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NPI Details

KAISER PERMANENTE is a preferred provider organization in Longview, WA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. KAISER PERMANENTE NPI is 1689776916. The provider is registered as an organization entity type.

The provider's business location address is:

1230 7TH AVE
LONGVIEW, WA
ZIP 98632-166
Phone: (360) 636-6235
Fax: (360) 575-4805

The provider's authorized official is Donna Rae Yeager .
The authorized official title is Addiction Medicine Therapist and has the following contact phone number (360) 636-6294.

The CLIA number assigned to this NPI record is 50D0637505 - health main. organization with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationCP00002701WASHINGTONYes

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: 11/21/2025

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