Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW R MCCULLOCH (REGIONAL PRESIDENT)
(503) 813-3805
Entity
Organization
Contact information
Practice address
9427 SW BARNES RD, PORTLAND, OR 97225-6652
(503) 203-2177
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-4939
(503) 813-4967
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
06/01/2021
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