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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1891048807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAISER FOUNDATION HOSPITALS

Provider Business Mailing Address
First Line	:	2875 NW STUCKI AVENUE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5806
Country	:	US
Telephone Number	:	971-310-1000
Fax Number	:	503-571-2671

Provider Business Practice Location Address
First Line	:	2875 NW STUCKI AVE.
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5806
Country	:	US
Telephone Number	:	971-310-1000
Fax Number	:	503-571-2671

Authorized Official
Title or Position	:	REVENUE CYCLE
Name	:	TAMMY T MCCULLER
Credential	:
Telephone Number	:	503-714-3035

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	01/23/2026

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Directions to “KAISER FOUNDATION HOSPITALS ” Practice Location

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