NPIMap

Organization Active NPI

Kaiser Permanente

  • Health Maintenance Organization
  • Hillsboro, OR
National Provider Identifier
1043767445
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
9003 Issued in OR
Legal business name
KAISER PERMANENTE
Practice address
5381 W Baseline Rd
Hillsboro, OR 97123-6447
Phone
(855) 718-7759
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherry Carlson, RPHNPI 1710436241
Title
Pharmacist
Phone
(855) 718-7759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 9003 OR Primary

Addresses

Primary practice location

5381 W Baseline Rd
Hillsboro, OR 97123-6447

Mailing address

5381 W Baseline Rd
Hillsboro, OR 97123-6447
Phone (855) 718-7759

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1043767445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5381 W BASELINE RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236447",
            "telephone_number": "855-718-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5381 W BASELINE RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236447",
            "telephone_number": "855-718-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "855-718-7759",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "9003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.