KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1578015855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578015855 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
Other Organization Name | ALOHA DENTAL OFFICE |
Practice Address |
17675 Sw Tualatin Valley Hwy Beaverton OR 97003-4443 |
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 |
---|---|
Aloha 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 |
17675 SW TUALATIN VALLEY HWY |
City | BEAVERTON |
State | OR |
Zip Code | 97003-4443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750300687 | Samuel Gottlieb | Dentist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2006-07-19 |
1487291043 | Jamie Lee Story | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2019-12-03 |
1700421583 | Francisca Yac Riscajche | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2019-11-15 |
1043751415 | Jesse Treanor | Dental Hygienist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2017-03-17 |
1285180786 | Ann Archer | Dental Hygienist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2016-08-25 |
1639541816 | Samantha Forst | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2015-10-27 |
1588036818 | Christina Swayne | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2015-10-26 |
1164855896 | Bridget Madeline Lambert | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2013-08-16 |
1770915084 | Krista V Brandt | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2013-08-08 |
1912248170 | Anna Koroteyev | Dental Hygienist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2013-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
Find all providers in zip 97003 |
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 |
---|---|---|---|---|
1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
1508484205 | Dental Professionals of Oregon, P.C. | Dentist | 12850 Sw Canyon Rd Ste A, Beaverton, OR 97005-2166 | 2020-07-09 |
1568021871 | Evan Whisenant | Dentist | 13730 Sw Weir Rd, Beaverton, OR 97008-8063 | 2019-06-10 |
1528562535 | Caring Smiles Dental, LLC | Dentist | 15000 Sw Barrows Rd Ste 204, Beaverton, OR 97007-8778 | 2018-03-23 |
1043724917 | Cedar Hills Modern Dentistry, PC | Dentist | 2905 Sw Cedar Hills Blvd Ste 120, Beaverton, OR 97005-1342 | 2017-11-29 |
1124543640 | Patrick Ching Hsiang Chuang | Dentist | 12450 Sw Pioneer Ln, Ste B, Beaverton, OR 97008-8377 | 2017-08-04 |
1992242093 | Kaiser Foundation Health Plan of The Northwest | Dentist | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2017-01-26 |
1730633801 | Kedy Shen | Dentist | 15000 Sw Barrows Rd, Beaverton, OR 97007-8712 | 2016-08-06 |
1407217615 | Anita Trieu | Dentist | 12075 Sw Allen Blvd, Beaverton, OR 97005-4787 | 2016-03-15 |
Find all providers in BEAVERTON |
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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.