Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Physician · Portland, OR

NPI number 1306192455 Active

Practice location

500 NE Multnomah St
Portland, OR 97232-2023

Fax (503) 813-2507

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Social Worker 104100000XNone listed
Registered Dietitian 133V00000XNone listed
Anesthesiology Physician 207L00000XNone listed
Dermatology Physician 207N00000XNone listed
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Clinical Pathology/Laboratory Medicine Physician 207ZP0105XNone listed
Pediatrics Physician 208000000XNone listed
Surgery Physician 208600000XNone listed
General Practice Physician Primary 208D00000XNone listed
Certified Registered Nurse Anesthetist 367500000XNone 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.

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About NPI 1306192455

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1306192455, issued on Jul 26, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2021.