| Kaiser Foundation Health Plan Of The Northwest | |
|
12450 Sw Walker Rd Beaverton OR 97005-1401 | |
| (800) 813-2000 | |
| (503) 240-3933 |
| Full Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12450 Sw Walker Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Foundation Health Plan Of The Northwest 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Kaiser Foundation Health Plan Of The Northwest 12450 Sw Walker Rd Beaverton OR 97005-1401 Ph: (800) 813-2000 |
| NPI Number | 1992242093 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992242093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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