| Kaiser Permanente | |
|
1900 Mcloughlin Blvd Ste 68 Oregon City OR 97045-1072 | |
| (503) 387-8000 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1900 Mcloughlin Blvd Ste 68, Oregon City, Oregon |
| Authorized Official Name and Position | Grant Colby (DENTAL OFFICE MANAGER) |
| Authorized Official Contact | 5033878000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 1900 Mcloughlin Blvd Ste 68 Oregon City OR 97045-1072 Ph: () - | Kaiser Permanente 1900 Mcloughlin Blvd Ste 68 Oregon City OR 97045-1072 Ph: (503) 387-8000 |
| NPI Number | 1093097958 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093097958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 126800000X (Oregon) | Primary |
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