Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other names
CARE ESSENTIALS BY KAISER PERMANENTE - HAWTHORNE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Authorized official
STEPHEN SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE)
(503) 813-2440
Entity
Organization
Contact information
Practice address
3060 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4121
(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
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500728475
—
OR
Enumeration date
08/06/2018
Last updated
06/01/2021
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