Kaiser Permanente

NPI #1578721486 in Clackamas, Oregon

Provider Information

NPI Number
1578721486
Entity Type
Organization
Organization Name
Kaiser Permanente
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 28, 2008
Last Updated
Jun 1, 2021

Practice Location

Address
10180 SE SUNNYSIDE RD
State
Oregon
ZIP Code
97015-8970
Phone
(503) 571-4190

Authorized Official

Name
KEVIN CCALLAIS
Title
SUPERVISOR PT/OT DEPT
Phone
(503) 571-4193

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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