Organization
KAISER PERMANENTE NW REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SOBECK M.D. (CHIEF OF OB/GYN)
(360) 891-6231
Entity
Organization
Contact information
Practice address
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, MT, TAL, 10100 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015-9764
(503) 571-3711
Mailing address
5105 SE TIBBETTS ST, PORTLAND, OR 97206-2166
(971) 221-9466
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
200540324RN
OR
Other
Enumeration date
08/29/2006
Last updated
06/25/2008
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