Organization
KAISER FOUNDATION HOSPITALS
Active
Parent organization
KAISER FOUNDATION HOSPITALS
Other names
Brookside Treatment Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HOSPITALS
Authorized official
SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE)
(800) 813-2000
Entity
Organization
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9303
(503) 571-1999
(503) 571-5508
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9303
(503) 571-1999
(503) 571-5508
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/21/2008
Last updated
06/23/2022
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