Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Physician · Vancouver, WA

NPI number 1053863902 Active

Practice location

7101 NE 137th Ave
Vancouver, WA 98682-4933

Call (800) 813-2000 Map

Fax (503) 286-6879

Mailing address

500 NE Multnomah St
Portland, OR 97232-2023

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

77 other providers at this address

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NPI record

NPI: 1053863902
Entity type: Organization (Type 2)
Issued: Oct 26, 2016
Last updated: May 24, 2021
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Northwest

Other names

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Orchards Medical Office · other name
Orchards Medical Office · other name

Authorized official

Stephen Shawn Barton
Executive Director, Revenue Cycle
(503) 813-2440

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053863902

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1053863902, issued on Oct 26, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Vancouver, WA. The record was last updated on May 24, 2021.