Kaiser Permanente

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OR: 200841337-RN Issued in OR

Legal business name

KAISER PERMANENTE

Practice address

500 NE Multnomah St
Portland, OR 97232-2023

Phone

(503) 813-2614

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy Farmer

Title

Graduate Medical Education

Phone

(503) 813-2660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1861727414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13216 NE SALMON CREEK AVE UNIT G5",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862886",
            "telephone_number": "509-868-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322023",
            "telephone_number": "503-813-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "GRADUATE MEDICAL EDUCATION",
        "authorized_official_telephone_number": "503-813-2660"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "OR:  200841337-RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente Dental Care Program
• Kaiser Permanente Health Plan
• Alan P Kaiser, PMHNP, LCSW
• Jannell Ann Kaiser, LCSW

• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.