Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Physician · Beaverton, OR

NPI number 1639616733 Active

Practice location

12450 SW Walker Rd
Beaverton, OR 97005-1401

Fax (503) 286-6879

Mailing address

500 NE Multnomah St
Portland, OR 97232-2023

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone 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.

19 other providers at this address

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About NPI 1639616733

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1639616733, issued on Jan 26, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Beaverton, OR. The record was last updated on Jun 1, 2021.