# KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER FOUNDATION HEALTH PLAN NORTHWEST
- **Other names:** Columbia Tech KPOJ
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306511878
- **Legal business name:** KAISER FOUNDATION HEALTH PLAN NORTHWEST
- **Authorized official:** STEPHEN SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE)
- **Authorized official phone:** (503) 813-2440

## Contact information

- **Practice address:** 17700 SE MILL PLAIN BLVD STE 190, VANCOUVER, WA 98683-7582
- **Practice address phone:** (800) 813-2000
- **Mailing address:** 500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
- **Mailing address phone:** (800) 813-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 08/23/2021