Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
KAISER PERMANENTE DENTAL CARE PROGRAM
Active
Organization
KAISER PERMANENTE DENTAL CARE PROGRAM
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NW
Other names
Kaiser Permanente 3 to PhD Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE NW
Authorized official
MRS. AMY MARKO (DENTAL BUSINESS LEADER)
(503) 813-4660
Entity
Organization
Contact information
Practice address
2930 NE DEKUM ST, PORTLAND, OR 97211-6613
(800) 813-2000
(503) 286-6879
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(800) 813-2000
(503) 286-6879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXXXX
—
OR
Enumeration date
08/18/2017
Last updated
06/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up