Active NPI
Kaiser Permanente Health Plan
- Health Maintenance Organization
- Portland, OR
National Provider Identifier
1508950205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- KAISER PERMANENTE HEALTH PLAN
- Practice address
- 3325 N Interstate Ave
Portland, OR 97227 - Phone
- (503) 331-6598
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Roberta Ann Foxley
- Title
- Genetic Counselor
- Phone
- (503) 331-6598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
3325 N Interstate Ave
Portland, OR 97227
Mailing address
3815 NE Bryce St
Portland, OR 97212
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508950205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 NE BRYCE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "503-331-6598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER PERMANENTE HEALTH PLAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FOXLEY",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "GENETIC COUNSELOR",
"authorized_official_telephone_number": "503-331-6598",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.