Organization
KAISER PERMAMANTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE)
(503) 813-2440
Entity
Organization
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
(503) 353-3903
Mailing address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97215
(503) 353-3900
(503) 353-3903
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A5867
OR
Other
Enumeration date
08/15/2006
Last updated
06/23/2022
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