KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST


Address: 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055
Phone: 8008132000

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1770035610) 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) 1770035610
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name CASCADE PARK MEDICAL OFFICE
Practice Address 12607 Se Mill Plain Blvd
Vancouver
WA 98684-6055
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Cascade Park Medical 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 12607 SE MILL PLAIN BLVD
City VANCOUVER
State WA
Zip Code 98684-6055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659340735 Richard M Shuey Psychiatry & Neurology 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2006-03-14
1447883020 Kendra M Latimer Case Manager/Care Coordinator 12607 Se Mill Plain Blvd, Vancouver, WA 98684 2020-02-21
1285273086 Leayn N Vandeven Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-12-27
1528605342 Jeff Cooksey Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-12-01
1104461961 Fidel Hernandez Jr. Nurse Practitioner 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-11-15
1518516822 Tameca Vernee Pryce Respiratory Therapist, Certified 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-09-09
1700348042 Beredu Abraham Geleto Registered Nurse 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2019-04-04
1942772660 Patricia Maria Rivera Psychologist 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-12-19
1992288328 Irene Moulton Pharmacist 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-09-12
1962982348 Christina Kirkpatrick Student in an Organized Health Care Education/Training Program 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2018-08-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1588116438 Kaiser Foundation Health Plan of The Northwest General Practice 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 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
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Competitor

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City VANCOUVER
Zip Code 98684

Improve Information

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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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