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Organization

KAISER PERMANENTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LONNIE ISAACSON RD (NUTRITION SPECIALIST)
(503) 240-4055
Entity
Organization

Contact information

Practice address
7201 N INTERSTATE AVE, HEALTH EDUCATION SERVICES, PORTLAND, OR 97217-5523
(503) 240-4055
Mailing address
7201 N INTERSTATE AVE, HEALTH EDUCATION SERVICES, PORTLAND, OR 97217-5523
(503) 240-4055

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
D1 00000263
WA

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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