# KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

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

## Provider details

- **NPI number:** 1891350377
- **Authorized official:** MICHELLE M BARLOW OFFICIAL (MANAGER)
- **Authorized official phone:** (509) 241-7343

## Contact information

- **Practice address:** 210 9TH AVE N, SEATTLE, WA 98109-5120
- **Practice address phone:** (952) 653-2565
- **Practice address fax:** (952) 653-2540
- **Mailing address:** 210 9TH AVE N, SEATTLE, WA 98109-5120
- **Mailing address phone:** (952) 653-2565
- **Mailing address fax:** (952) 653-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 06/22/2021