| Kaiser Foundation Health Plan | |
|
3600 N Interstate Ave Portland OR 97227-1106 | |
| (503) 528-7458 | |
| Not Available |
| Full Name | Kaiser Foundation Health Plan |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3600 N Interstate Ave, Portland, 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 500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-4939 | Kaiser Foundation Health Plan 3600 N Interstate Ave Portland OR 97227-1106 Ph: (503) 528-7458 |
| NPI Number | 1285960732 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285960732 | NPI | - | NPPES |
| 119040 | Other | OR | MAM CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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