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NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1245781319
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2023
Country : US
Telephone Number : 800-813-2000
Fax Number : 855-524-5255
Provider Business Practice Location Address
First Line : 10060 NE EVERGREEN PKWY
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-6448
Country : US
Telephone Number : 800-813-2000
Fax Number : 503-286-6879
Authorized Official
Title or Position : EXECUTIVE DIRECTOR, REVENUE CYCLE
Name : STEPHEN SHAWN BARTON
Credential :
Telephone Number : 503-813-2440
Provider Enumeration Date : 10/24/2016
Last Update Date : 09/23/2025

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Directions to “KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST ” Practice Location

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