| Kaiser Permanente | |
|
Kaiser Permanente Mt Scott Office 9800 Se Sunnyside Rd Clackamas OR 97015-9750 | |
| (503) 571-3453 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Kaiser Permanente Mt Scott Office, Clackamas, Oregon |
| Authorized Official Name and Position | Richard C. Langsen (SOCIAL WORK) |
| Authorized Official Contact | 5036785985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente Kaiser Permanente Mt Scott Medical Office 9800 Se Sunnyside Rd, Clackamas OR 97015-9750 Ph: (503) 571-3453 | Kaiser Permanente Kaiser Permanente Mt Scott Office 9800 Se Sunnyside Rd Clackamas OR 97015-9750 Ph: (503) 571-3453 |
| NPI Number | 1588797138 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588797138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1966 (Oregon) | Primary |
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