Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other names
CARE ESSENTIALS BY KAISER PERMANENTE - HAWTHORNE
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
3060 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4121
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
(503) 286-6879
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500728475
—
OR
Enumeration date
05/09/2018
Last updated
06/01/2021
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