# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER FOUNDATION HOSPITALS
- **Other names:** Interstate South ASC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891859773
- **Legal business name:** KAISER FOUNDATION HOSPITALS
- **Authorized official:** SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE)
- **Authorized official phone:** (800) 813-2000

## Contact information

- **Practice address:** 3500 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE SOUTH, PORTLAND, OR 97227-1196
- **Practice address phone:** (503) 331-4761
- **Practice address fax:** (503) 331-6129
- **Mailing address:** 500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
- **Mailing address phone:** (503) 813-4939
- **Mailing address fax:** (503) 813-4967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 06/23/2022