# KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER PERMANENTE DENTAL CARE PROGRAM
- **Other names:** Salmon Creek Dental Office
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508318734
- **Legal business name:** KAISER PERMANENTE DENTAL CARE PROGRAM
- **Authorized official:** MR. KENNETH R WRIGHT (VP DENTAL CARE SERVICES)
- **Authorized official phone:** (503) 813-4660

## Contact information

- **Practice address:** 14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
- **Practice address phone:** (800) 813-2000
- **Practice address fax:** (503) 286-6879
- **Mailing address:** 500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
- **Mailing address phone:** (800) 813-2000
- **Mailing address fax:** (503) 286-6879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 06/01/2021