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Kaiser Foundation Health Plan Of The Northwest

General Practice in Eugene, OR. Organization (NPI-2).

NPI number1609328640
StatusActive
Last updated in NPPESJun 1, 2021

Details

NPI
1609328640
Entity type
Organization (NPI-2)
Legal business name
Kaiser Foundation Health Plan Of The Northwest
Organization subpart
Yes
Enumeration date
Oct 25, 2016
Certification date
Jun 1, 2021
Last updated
Jun 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes

Practice location

100 W 13th Ave
Eugene, OR 97401-3433

Phone 800-813-2000 · Fax 503-286-6879

Mailing address

500 Ne Multnomah St
Portland, OR 97232-2023

Phone 800-813-2000 · Fax 503-286-6879

Authorized official

Stephen Shawn Barton
Executive Director, Revenue Cycle
5038132440

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