KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST


Address: 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802
Phone: 8008132000

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1669980348) 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) 1669980348
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name TANASBOURNE DENTAL OFFICE
Practice Address 19075 Nw Tanasbourne Dr Ste 300
Hillsboro
OR 97124-5802
Mailing Address 500 Ne Multnomah St
Portland
OR 97232-2023
Practice Telephone 8008132000
Mailing Telephone 8008132000
Enumeration Date 2018-01-17
Last Update Date 2018-06-16
Authorized Official Name TAMMY T MCCULLER (REVENUE CYCLE SYSTEMS SPECIALIST)
Authorized Official Telephone 5032403933
Is Organization Subpart Y
Parent Organization Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500675725 05

Other Provider/Organization Names

Other Name Type Code
Tanasbourne 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 19075 NW TANASBOURNE DR STE 300
City HILLSBORO
State OR
Zip Code 97124-5802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477562296 Kayvandokht Fun Dental Hygienist 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5860 2006-08-08
1851888614 Audrey Sachs Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2018-04-17
1255886164 Hee Eun Kim Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2016-08-20
1699129874 Mollee Kay Ione Hren Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2016-04-14
1306204045 Teresa Mendoza Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2016-02-09
1639456718 Tina Marie Friton Scott Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2011-11-03
1851616270 Marci Martin Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2010-03-29
1982937306 Lesa Sherilyn Ingraham Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2009-09-16
1154579092 Lubov Maria Fultz Dental Hygienist 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 2008-09-04
1952424624 Quinn Michelle Drueppel Dental Assistant 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5860 2007-04-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538705322 Pamela Anne Martin Registered Nurse 2875 Nw Stucki Pl, Hillsboro, OR 97124 2019-11-27
1912548892 Donnia Mae Schwarz Behavior Technician 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 2019-10-02
1609305036 Catherine Lydon Registered Nurse 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 2017-06-08
1376092163 Michael Han Pharmacist 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 2016-09-22
1760868459 Voices Set Free Community/Behavioral Health 254 North 1st Ave., Hillsboro, OR 97124 2015-08-04
1871980151 Kevin Kar Fai Cheng Dentist 7206 Ne Cornell Rd, Hillsboro, OR 97124 2015-04-23
1336530047 Maegan Lee Mcglone Behavioral Analyst 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 2015-02-17
1588095772 Hillsboro Modern Dentistry, PC Dentist 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 2013-12-12
1275977043 Dana Hazell Massage Therapist 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 2013-04-24
1679816771 Candice May Doyle Massage Therapist 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 2013-03-27
Find all providers in zip 97124

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497276018 Benjamin Ho Dentist 1320 Corsicana Hwy Ste 160, Hillsboro, TX 76645-2614 2017-07-05
1871980151 Kevin Kar Fai Cheng Dentist 7206 Ne Cornell Rd, Hillsboro, OR 97124 2015-04-23
1821403924 Tesha Lynn Waggoner Dentist 150 Se 3rd Ave, Hillsboro, OR 97123 2014-06-26
1700226842 Luis F Pagan Dentist 527 Se Baseline St Ste C, Hillsboro, OR 97123-4149 2013-07-03
1689915084 Aixa Yari Devarie Morales Dentist 2247 Se Tualatin Valley Hwy, Hillsboro, OR 97123-7975 2013-03-09
1902141351 James T. Mckown D.d.s., Inc. Dentist 938 West Main St, Suite 4, Hillsboro, OH 45133-7656 2012-12-11
1881959120 Douglas William Shafer Dentist 1200 Ne 48th Ave Ste 1400, Hillsboro, OR 97124-5006 2012-07-12
1023323383 Joseph Floyd Jordan Jr. Dentist 624 S. High St., Hillsboro, OH 45133 2010-08-11
1730492794 Leslie Ann Nechvatal Dentist 624 South High St, Hillsboro, OH 45133 2010-07-20
1306968458 J R Wolfenden Dds Sc Dentist 925 Water Ave, Hillsboro, WI 54634 2007-04-06
Find all providers in HILLSBORO

Competitor

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City HILLSBORO
Zip Code 97124

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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.

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