Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY FARMER (GRADUATE MEDICAL EDUCATION)
(503) 813-2660
Entity
Organization
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-2614
Mailing address
13216 NE SALMON CREEK AVE UNIT G5, VANCOUVER, WA 98686-2886
(509) 868-1329
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OR: 200841337-RN
OR
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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