KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1588116438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588116438 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | MILL PLAIN ONE MEDICAL OFFICE |
| Practice Address |
203 Se Park Plaza Dr Suite 140 Vancouver WA 98684-5886 |
| 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 |
|---|---|
| Mill Plain One 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 |
203 SE PARK PLAZA DR SUITE 140 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437262094 | Sande Bartels Irwin | Otolaryngology | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2006-08-17 |
| 1740636364 | Stephanie Mara Wichmann | Social Worker | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2016-05-12 |
| 1740526706 | In Touch Counseling Services | Marriage & Family Therapist | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-12-19 |
| 1285985705 | Mary Elizabeth Jones-wilcox | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-09-24 |
| 1699048272 | Diane V Stadler | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-02-13 |
| 1679866933 | The Devlopment Center | Counselor | 203 Se Park Plaza Dr, Suite#105, Vancouver, WA 98684-5886 | 2011-05-19 |
| 1326366394 | Kristal Mathis | Marriage & Family Therapist | 203 Se Park Plaza Dr, Vancouver, WA 98684-5886 | 2010-05-14 |
| 1841441417 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2008-10-01 |
| 1780867309 | Gabriele M Smith | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2007-12-06 |
| 1790823219 | Jeanne M Hehlen | Counselor | 203 Se Park Plaza Dr, Park Tower II Suite #105, Vancouver, WA 98684-5886 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
| 1265984249 | Kaiser Foundation Health Plan of The Northwest | General Practice | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-10-26 |
| 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 |
| 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 |
| Find all providers in VANCOUVER | ||||
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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.