Kaiser Foundation Health Plan of the Northwest

NPI #1619429842 in Clackamas, Oregon

Provider Information

NPI Number
1619429842
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
10209 SE SUNNYSIDE RD
State
Oregon
ZIP Code
97015-9782
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 PracticeGeneral Practice

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