Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Dentist · Happy Valley, OR

NPI number 1629699863 Active

Practice location

9300 SE 91st Ave Ste 310
Happy Valley, OR 97086-3762

Call (800) 813-2000 Map

Mailing address

500 NE Multnomah St
Portland, OR 97232-2023

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

6 other providers at this address

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NPI record

NPI: 1629699863
Entity type: Organization (Type 2)
Issued: Apr 28, 2020
Last updated: Jun 1, 2021
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Northwest

Other names

<unavail>
Johnson Creek Dental Office · doing business as
Johnson Creek Dental Office · doing business as

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 1629699863

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1629699863, issued on Apr 28, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Happy Valley, OR. The record was last updated on Jun 1, 2021.