Organization
KAISER FOUNDATION HEALTH PLAN OF THE NW
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NW
Other names
Beaverton Medical Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE NW
Authorized official
STEPHEN SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE)
(503) 813-2440
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
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1084993
—
WA
05
—
147090
—
OR
Enumeration date
10/19/2016
Last updated
06/01/2021
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