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NPI 1972054047 · live from the CMS NPI Registry

Kaiser Foundation Health Plan Of The Northwest

General Practice in Portland, OR. National Provider Identifier 1972054047, active.

NPI record

NPI1972054047 Type 2 · organization
StatusActive
Primary specialtyGeneral Practice 208D00000X
Practice location500 Ne Multnomah St, Portland, OR 97232
Practice phone503-813-2440
EnumeratedOctober 24, 2016
Last updatedJune 1, 2021
Authorized officialStephen Barton, Executive Director, Revenue Cycle
Other namesHillsboro Medical Office

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000X—
Social Worker104100000X—
Nurse Anesthetist, Certified Registered367500000X—
Dietitian, Registered133V00000X—
Anesthesiology207L00000X—
Dermatology207N00000X—
Emergency Medicine207P00000X—
Family Medicine207Q00000X—
Internal Medicine207R00000X—
Obstetrics & Gynecology207V00000X—
Ophthalmology207W00000X—
Pathology, Clinical Pathology/Laboratory Medicine207ZP0105X—
Pediatrics208000000X—
Surgery208600000X—
General Practice primary208D00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.