Kaiser Foundation Health Plan of the Northwest

NPI #1992242093 in Beaverton, Oregon

Provider Information

NPI Number: 1992242093
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Northwest
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2017
Last Updated: Jun 1, 2021

Practice Location

Address: 12450 SW WALKER RD
City: Beaverton
State: Oregon
ZIP Code: 97005-1401
Phone: (800) 813-2000

Authorized Official

Name: STEPHEN SHAWN BARTON
Title: EXECUTIVE DIRECTOR, REVENUE CYCLE
Phone: (503) 813-2440

Specialties & Taxonomy Codes

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

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