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Export Provider Record NPI 1104378140
Kaiser Foundation Health Plan Of The Northwest
Organization Subpart: YES
Active
NPI Number1104378140
NPI TypeNPI-2 Organization
SpecialtyGeneral Practice
Provider Details
NPI1104378140
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2016-10-25
Last Updated2021-06-01
Authorized OfficialStephen Barton
Executive Director, Revenue Cycle
Phone: 5038132440
Mailing Address500 Ne Multnomah St
Portland, OR 97232-2023
United States
Phone: (503) 813-2000 | Fax: (503) 286-6879
📍 View Map
Primary Practice Address12100 Se Stevens Ct, Suite 106
Portland, OR 97086-4707
United States
Phone: (800) 813-2000 | Fax: (503) 286-6879
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No152W00000X – Optometrist--
No156F00000X – Technician/Technologist--
Yes208D00000X – General Practice--
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About NPI 1104378140

Kaiser Foundation Health Plan Of The Northwest is an organization registered in the CMS NPPES NPI Registry with NPI number 1104378140. The primary specialty listed is General Practice. The organization is located in Portland, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-10-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104378140?

NPI 1104378140 belongs to Kaiser Foundation Health Plan Of The Northwest, a General Practice in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104378140 active?

The current status of NPI 1104378140 in the NPPES registry is Active. The record was last updated on 2021-06-01.

What specialty is NPI 1104378140?

NPI 1104378140 is classified under the taxonomy General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104378140?

You can verify NPI 1104378140 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104378140?

The primary practice address on file for NPI 1104378140 is 12100 Se Stevens Ct, Portland, OR 97086-4707. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104378140 issued?

NPI 1104378140 was first issued (enumerated) on 2016-10-25. The NPPES record was last updated on 2021-06-01.

Practice Location Map

Kaiser Foundation Health Plan Of The Northwest is located at 12100 Se Stevens Ct, Portland, OR. Use the map below to find directions or verify the practice location.

📍 12100 Se Stevens Ct, Portland, OR 97086-4707  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kaiser Foundation Health Plan Of The Northwest. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-10 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162