KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1265984249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265984249 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | SALMON CREEK MEDICAL OFFICE |
| Practice Address |
14406 Ne 20th Ave Vancouver WA 98686-1448 |
| Mailing Address |
500 Ne Multnomah St Portland OR 97232-2023 |
| Practice Telephone | 8008132000 |
| Practice Fax Number | 5032866879 |
| Mailing Telephone | 8008132000 |
| Mailing Fax Number | 5032866879 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | MR. SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Telephone | 5038132440 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Salmon Creek Medical Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1992242093 | Kaiser Foundation Health Plan of The Northwest | Dentist | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2017-01-26 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1093142234 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1700 Ne 102nd Ave., Portland, OR 97220 | 2013-10-02 |
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1215976014 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2006-06-06 |
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
| 1962456194 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
14406 NE 20TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889748 | Panagiotis Fourtounis | Specialist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2005-05-23 |
| 1821632944 | Aleksandra S Velychko | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-10-31 |
| 1346892759 | Rebecca Olmsted | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-07-15 |
| 1083184840 | Colleen Bernice Yoakum | Dental Hygienist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-12-04 |
| 1649759531 | Maxwell Daniel Gruber | Student in an Organized Health Care Education/Training Program | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-08-10 |
| 1639656077 | Jeffrey Douglas Deyo | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-07-27 |
| 1962994350 | Scott Shattuck | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-06-01 |
| 1508318734 | Kaiser Foundation Health Plan of The Northwest | Dentist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-11-04 |
| 1790160521 | Laurel Ann Staton-smith | Registered Nurse | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-07-22 |
| 1730576901 | Joelle Osterhaus | Social Worker | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1851512644 | Points of Origin, Pllc | General Practice | 18810 Ne 18th St, Vancouver, WA 98684-0969 | 2007-05-01 |
| 1174516082 | Stephen E. Pliska | General Practice | 7701 Ne Highway 99, Vancouver, WA 98665-8834 | 2005-08-25 |
| 1053863902 | Kaiser Foundation Health Plan of The Northwest | General Practice | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2016-10-26 |
| 1770035610 | Kaiser Foundation Health Plan of The Northwest | General Practice | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2016-10-26 |
| 1588116438 | Kaiser Foundation Health Plan of The Northwest | General Practice | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2016-10-26 |
| 1871898254 | Lynda Tang | General Practice | 700 Ne 87th Ave, Suite 220, Vancouver, WA 98664-1913 | 2011-01-17 |
| 1871818070 | Urgent Oregon Care Inc | General Practice | 5305 E 18th St, Suite 224, Vancouver, WA 98661-6583 | 2010-03-30 |
| 1972725612 | Peter Hanfileti | General Practice | 18810 Ne 18th St, Vancouver, WA 98684-0969 | 2007-05-03 |
| 1689668246 | Robert D Thornton | General Practice | 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 | 2005-09-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.