# KAISER PERMANENTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124134127
- **Authorized official:** MRS. JILL JEPPSON JOHNSON LCSW (CRISIS INTERVENTION SPECIALIST)
- **Authorized official phone:** (503) 643-4867

## Contact information

- **Practice address:** 10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
- **Practice address phone:** (503) 652-2880
- **Mailing address:** 2985 SW CHRISTY AVE, BEAVERTON, OR 97005-1520
- **Mailing address phone:** (503) 643-4867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | OR 2729 | OR | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020