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NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
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
1291U00000XClinical Medical LaboratoryMTS-0697WA

General Provider Information

NPI Number : 1285805119
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Provider Business Mailing Address
First Line : PO BOX 34584
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1584
Country : US
Telephone Number : 509-241-7349
Fax Number :
Provider Business Practice Location Address
First Line : 2921 NACHES AVE SW
Second Line : GSE-B2E-01
City : RENTON
State : WA
Zip : 98057-2617
Country : US
Telephone Number : 206-630-4545
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MICHELLE BARLOW
Credential :
Telephone Number : 509-241-7343
Provider Enumeration Date : 03/19/2008
Last Update Date : 07/06/2021

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Directions to “KAISER FOUNDATION HEALTH PLAN OF WASHINGTON ” Practice Location

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