Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Physician · Longview, WA

NPI number 1265984231 Active

Practice location

1230 7th Ave
Longview, WA 98632-3166

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.

122 other providers at this address

Other general practice physician providers in Longview

Cowlitz Indian TribeGeneral Practice Physician Longview, WA NPI 1851328447

See all in Longview →

NPI record

NPI: 1265984231
Entity type: Organization (Type 2)
Issued: Oct 26, 2016
Last updated: Jun 1, 2021
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Northwest

Other names

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Longview - Kelso Medical Office · other name
Longview - Kelso 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 1265984231

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1265984231, issued on Oct 26, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Longview, WA. The record was last updated on Jun 1, 2021.