Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Other names
KFHP Portland Metropolitan Area
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY T MCCULLER (REVENUE CYCLE)
(503) 714-3035
Entity
Organization
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-2440
(503) 813-2507
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-2440
(503) 813-2507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147090
—
OR
05
—
7857501
—
WA
Enumeration date
12/14/2006
Last updated
01/23/2026
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