# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1588797138
- **Authorized official:** MR. RICHARD C. LANGSEN LCSW (SOCIAL WORK)
- **Authorized official phone:** (503) 678-5985

## Contact information

- **Practice address:** KAISER PERMANENTE MT SCOTT OFFICE, 9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
- **Practice address phone:** (503) 571-3453
- **Mailing address:** KAISER PERMANENTE MT SCOTT MEDICAL OFFICE, 9800 SE SUNNYSIDE RD,, CLACKAMAS, OR 97015-9750
- **Mailing address phone:** (503) 571-3453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1966 | OR | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 07/10/2007