KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST


Address: 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443
Phone: 8008132000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Aloha Dental Office Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 17675 SW TUALATIN VALLEY HWY
City BEAVERTON
State OR
Zip Code 97003-4443

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City BEAVERTON
Zip Code 97003

Improve Information

Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST.

Dataset Information

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.

Trending Searches