Organization
KAISER FOUNDATION HOSPITALS
Active
Parent organization
KAISER FOUNDATION HOSPITALS
Other names
Interstate South ASC
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
3500 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE SOUTH, PORTLAND, OR 97227-1196
(503) 331-4761
(503) 331-6129
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-4939
(503) 813-4967
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
06/23/2022
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