KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1336691625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336691625 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | OREGON CITY DENTAL OFFICE |
| Practice Address |
1900 Mcloughlin Blvd Suite 69 Oregon City OR 97045-1067 |
| 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 | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | MR. KENNETH R WRIGHT (VP DENTAL CARE SERVICES) |
| Authorized Official Telephone | 5038134660 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER PERMANENTE DENTAL CARE PROGRAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Oregon City Dental 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 |
1900 MCLOUGHLIN BLVD SUITE 69 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039827 | Take Care Health Systems | Point of Service | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1057 | 2005-11-02 |
| 1003361593 | Christopher Merkle | Pharmacist | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1067 | 2016-08-24 |
| 1386096758 | Stacey Bucklein | Dental Assistant | 1900 Mcloughlin Blvd, Suite 68, Oregon City, OR 97045-1067 | 2016-07-08 |
| 1356708523 | Stacy Wood | Dental Assistant | 1900 Mcloughlin Blvd, Suite 68, Oregon City, OR 97045-1067 | 2016-01-19 |
| 1144693987 | Shauna Marie Mcglone | Dental Assistant | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1067 | 2015-11-02 |
| 1073989950 | Vincent Hatakeyama | Pharmacist | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1067 | 2015-08-14 |
| 1770972192 | Lindsey Hewlett | Dental Assistant | 1900 Mcloughlin Blvd, Ste 68, Oregon City, OR 97045-1067 | 2015-01-22 |
| 1265832935 | Jeff Reber | Pharmacist | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1067 | 2014-08-29 |
| 1073923157 | Kaitlin West | Dental Assistant | 1900 Mcloughlin Blvd, Suite 68, Oregon City, OR 97045-1067 | 2014-04-29 |
| 1245516509 | Irma Rodriguez | Dental Assistant | 1900 Mcloughlin Blvd, Suite 68, Oregon City, OR 97045-1067 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699045872 | Neighborhood Health Center | Dentist | 19029 S Beavercreek Rd, Oregon City, OR 97045 | 2012-01-05 |
| 1255666764 | Rachel White | Dentist | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2009-10-16 |
| 1568688265 | Bruce L Nguyen | Dentist | 19172 Molalla Ave, Oregon City, OR 97045-8975 | 2007-04-18 |
| 1215153911 | Sean S Kim | Dentist | 19029 Beavercreek Rd, Oregon City, OR 97045-9537 | 2007-04-18 |
| 1598885246 | William Whittemore | Dentist | 1677 Molalla Ave, Oregon City, OR 97045-4007 | 2007-03-29 |
| 1053437731 | Peter N Nguyen | Dentist | 1436 Molalla Ave, Oregon City, OR 97045-4004 | 2007-03-22 |
| 1669515995 | Kendall S. Evans | Dentist | 1174 Molalla Ave, Oregon City, OR 97045-3770 | 2007-02-15 |
| 1720134000 | Raini Spitze | Dentist | 18221 S Redland Rd, Oregon City, OR 97045-8823 | 2007-01-26 |
| 1043376551 | Alexander C.y. Lin | Dentist | 1515 Seventh St Suite B, Oregon City, OR 97045 | 2006-12-29 |
| 1275610495 | Center Street Dental PC | Dentist | 419 Center Street, Oregon City, OR 97045-2211 | 2006-11-01 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST.
| 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.