Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other names
Tanasbourne KPOJ
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
17885 NW EVERGREEN PKWY STE 220, BEAVERTON, OR 97006-7494
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/16/2021
Last updated
08/23/2021
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