NPIMap

Organization Active NPI

Kaiser Permanente NW Region

  • Health Maintenance Organization
  • Clackamas, OR
National Provider Identifier
1477662153
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
200540324RN Issued in OR
Legal business name
KAISER PERMANENTE NW REGION
Practice address
Kaiser Foundation Health Plan of the Northwest, Mt, Tal
10100 SE Sunnyside Road
Clackamas, OR 97015-9764
Phone
(503) 571-3711
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. John Sobeck, M.D.
Title
Chief of OB/GYN
Phone
(360) 891-6231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 200540324RN OR Primary

Addresses

Primary practice location

Kaiser Foundation Health Plan of the Northwest, Mt, Tal
10100 SE Sunnyside Road
Clackamas, OR 97015-9764

Mailing address

5105 SE Tibbetts St
Portland, OR 97206-2166
Phone (971) 221-9466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1477662153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 SE TIBBETTS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062166",
            "telephone_number": "971-221-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, MT, TAL",
            "address_2": "10100 SE SUNNYSIDE ROAD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159764",
            "telephone_number": "503-571-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE NW REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SOBECK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OF OB/GYN",
        "authorized_official_telephone_number": "360-891-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "200540324RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.