Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SCHOENHEIT (PROJECT COORDINATOR)
(360) 619-4261
Entity
Organization
Contact information
Practice address
19185 SW 90TH AVE, ADDICTION MEDICINE, TUALATIN, OR 97062-7558
(360) 619-4261
Mailing address
2211 E MILL PLAIN BLVD, ADDICTION MEDICINE, VANCOUVER, WA 98661-4329
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/25/2013
Last updated
06/01/2021
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