Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Physician · Portland, OR

NPI number 1649722034 Active

Practice location

1035 NW Northrup St
Portland, OR 97209-3017

Call (800) 813-2000 Map

Fax (503) 240-3933

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.

Another provider at this address

Heather Amanda Oldham, PA-CPhysician Assistant Portland, OR NPI 1811380009

Other general practice physician providers in Portland

See all in Portland →

NPI record

NPI: 1649722034
Entity type: Organization (Type 2)
Issued: Nov 1, 2016
Last updated: Jun 1, 2021
Status: Active
Subpart: Yes of Care Essentials By Kaiser Permanente NW

Other names

<unavail>
Care Essentials By Kaiser Permanente - Pearl · other name
Care Essentials By Kaiser Permanente - Pearl · other name

Authorized official

Stephen Shawn Barton
Executive Director, Revenue Cycle
(503) 813-2440

Verify this record

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.

Is this your record? How to update it.

About NPI 1649722034

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1649722034, issued on Nov 1, 2016. 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.