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Kaiser Foundation Health Plan Of The Northwest

Dentist in Hillsboro, OR. Organization (NPI-2).

NPI number1669980348
StatusActive
Last updated in NPPESSep 12, 2025

Details

NPI
1669980348
Entity type
Organization (NPI-2)
Legal business name
Kaiser Foundation Health Plan Of The Northwest
Organization subpart
Yes
Enumeration date
Jan 17, 2018
Certification date
Jun 1, 2021
Last updated
Sep 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Other names

  • Tanasbourne Dental Office (Other Name)

Practice location

19075 Nw Tanasbourne Dr Ste 300
Hillsboro, OR 97124-5802

Phone 800-813-2000

Mailing address

500 Ne Multnomah St
Portland, OR 97232-2023

Phone 800-813-2000

Authorized official

Stephen Shawn Barton
Executive Director, Revenue Cycle
5038132440

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