MEDICARE: KAISER FOUNDATION HOSPITALS

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
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1275619215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAISER FOUNDATION HOSPITALS

Provider Business Mailing Address
First Line	:	10180 SE SUNNYSIDE RD
Second Line	:
City	:	CLACKAMAS
State	:	OR
Zip	:	97015-8970
Country	:	US
Telephone Number	:	503-571-4851
Fax Number	:	503-571-2671

Provider Business Practice Location Address
First Line	:	9900 SE SUNNYSIDE RD
Second Line	:
City	:	CLACKAMAS
State	:	OR
Zip	:	97015-9303
Country	:	US
Telephone Number	:	503-571-4851
Fax Number	:	503-571-2671

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR, REVENUE CYCLE
Name	:	SHAWN BARTON
Credential	:
Telephone Number	:	503-813-2440

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	04/13/2021

Similar Medicare Providers

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Practice Location Address:

10180 SE SUNNYSIDE RD
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97015-9303

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Practice Fax:

1659528693 — KAISER FOUNDATION HOSPITALS
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1720237670 — DAN W NEGLEY R.PH.
Practice Location Address:

10180 SE SUNNYSIDE ROAD , KAISER SUNNYSIDE MEDICAL CENTER INPATIENT PHARMACY
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1659520310 — MINA MONROE MSW MPH
Practice Location Address:

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1285884478 — MR. CORSON COLLET PHARMD
Practice Location Address:

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1578714077 — HJALMER LOFSTROM
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10180 SE SUNNYSIDE RD.
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97015-9303

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Practice Fax:

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