Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other names
Newberg Primary Care
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
2880 HAYES ST, NEWBERG, OR 97132-1310
(800) 813-2000
(503) 286-6879
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(800) 813-2000
(503) 286-6879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147090
—
OR
Enumeration date
08/03/2018
Last updated
06/01/2021
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