Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other names
Clackamas Eye Care
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
12100 SE STEVENS CT, SUITE 106, PORTLAND, OR 97086-4707
(800) 813-2000
(503) 286-6879
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-2000
(503) 286-6879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156F00000X
Technician/Technologist
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
06/01/2021
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