Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other names
Sunnyside Sleep Lab
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
9717 SE SUNNYSIDE RD, 3RD FLOOR, CLACKAMAS, OR 97015-9784
(503) 659-2454
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-4939
(503) 813-4967
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
06/01/2021
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