Kaiser Foundation Health Plan of the Northwest
NPI #1063964294 in Longview, Washington
Provider Information
- NPI Number
- 1063964294
- Entity Type
- Organization
- Organization Name
- Kaiser Foundation Health Plan of the Northwest
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KAISER PERMANENTE DENTAL CARE PROGRAM
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 4, 2016
- Last Updated
- Jun 1, 2021
Practice Location
- Address
- 1230 7TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3166
- Phone
- (800) 813-2000
Authorized Official
- Name
- MR. KENNETH R WRIGHT
- Title
- VP DENTAL CARE SERVICES
- Phone
- (503) 813-4660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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