Kaiser Permanante

NPI #1922559764 in Clackamas, Oregon

Provider Information

NPI Number: 1922559764
Entity Type: Organization
Organization Name: Kaiser Permanante
Primary Specialty: Rehabilitation, Substance Use Disorder Unit
Enumeration Date: Oct 17, 2016
Last Updated: Jun 1, 2021

Practice Location

Address: 10180 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-8970
Phone: (503) 652-2880

Authorized Official

Name: MR. ALEXANDER SHYBUT, B.A.
Title: MILIEU COUNSELOR
Phone: (503) 652-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation, Substance Use Disorder Unit	276400000X	Primary

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