Kaiser Foundation Health Plan of the Northwest

NPI #1083166219 in Beaverton, Oregon

Provider Information

NPI Number: 1083166219
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Northwest
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER PERMANENETE DENTAL CARE PROGRAM
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 4, 2016
Last Updated: Jun 1, 2021

Practice Location

Address: 4855 SW WESTERN AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-3460
Phone: (800) 813-2000

Authorized Official

Name: MR. KENNETH R WRIGHT
Title: VP DENTAL CARE SERVICES
Phone: (503) 813-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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