National Provider Identifier Database

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
500 NE MULTNOMAH ST
PORTLAND, OR  97232-2023
Phone: 503-813-2440
Fax: 503-813-2507
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Anesthesiology 207L00000X
Clinical Pathology/Laboratory Medicine 207ZP0105X
Counselor 101Y00000X
Dermatology 207N00000X
Dietitian, Registered 133V00000X
Emergency Medicine 207P00000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Nurse Anesthetist, Certified Registered 367500000X
Obstetrics & Gynecology 207V00000X
Ophthalmology 207W00000X
Pediatrics 208000000X
Social Worker 104100000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI Number 1184786527
Legal business name
LBN		 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Authorized official TAMMY MCCULLER - (REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 12/14/2006
Last updated 01/23/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 147090
  • WA Medicaid: 7857501

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

There are currently no reviews for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPIdb - Home
v2.201