Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Dentistry · Portland, OR

NPI number 1073065207 Active

Practice location

10102 NE Glisan St
Portland, OR 97220-4456

Call (800) 813-2000 Map

Fax (503) 286-6879

Mailing address

500 NE Multnomah St
Portland, OR 97232-2023

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073065207

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1073065207, issued on Nov 4, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2021.