Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

General Practice Dentistry · Eugene, OR

NPI number 1912449810 Active

Practice location

1011 Valley River Way, Suite 116B
Eugene, OR 97401-2127

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 Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

Other general practice dentistry providers in Eugene

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NPI record

NPI: 1912449810
Entity type: Organization (Type 2)
Issued: Nov 8, 2016
Last updated: Jun 1, 2021
Status: Active
Subpart: Yes of Kaiser Permanente Dental Care Program

Other names

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Valley River Dental Office · other name
Valley River Dental Office · other name

Authorized official

Mr. Kenneth R Wright
VP Dental Care Services
(503) 813-4660

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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 1912449810

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1912449810, issued on Nov 8, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eugene, OR. The record was last updated on Jun 1, 2021.