# KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
- **Other names:** Kaiser Permanente McMinnville Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033794128
- **Legal business name:** KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
- **Authorized official:** STEPHEN SHAWN BARTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (503) 813-2440

## Contact information

- **Practice address:** 2700 SE STRATUS AVE UNIT 405, MCMINNVILLE, OR 97128-6258
- **Practice address phone:** (800) 813-2000
- **Mailing address:** 500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
- **Mailing address phone:** (800) 813-2000
- **Mailing address fax:** (855) 524-5255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 05/06/2021