Active NPI
Kaiser Foundation Health Plan of the Northwest
- General Practice Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
- Practice address
- 500 NE Multnomah St
Portland, OR 97232-2023 - Phone
- (503) 813-2440
- Fax
- (503) 813-2507
- NPI assigned
- Jul 19, 2012
- Last updated
- Jun 1, 2021
- 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
- Stephen Shawn Barton
- Title
- Executive Director, Revenue Cycle
- Phone
- (503) 813-2440
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | |||
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Registered Dietitian | 133V00000X | |||
| Anesthesiology Physician | 207L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
500 NE Multnomah St
Portland, OR 97232-2023
Mailing address
500 NE Multnomah St
Portland, OR 97232-2023
Phone (503) 813-2440
Other names 1
- KFHP Longview/Kelso Area
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000099 | WA | Part B Supplier - Clinic/Group Practice | 5799688230 |
Receives reassigned benefits from 2,668 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vancouver, WA; Longview, WA; Battle Ground, WA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
O20040220000099
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
O20040220000099
-
dba ProMedica Skilled Nursing and Rehabilitation (Salmon Creek)
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1609171081
O20040220000099
National Provider Directory
National Provider DirectoryLocations
203 SE Park Plaza Dr
Ste 140
Vancouver, WA 98684
Phone (360) 449-7002
Practitioners & affiliated clinicians
Practitioners 542
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1083811954
-
- Family Medicine Physician
- Gresham, OR
- NPI 1871933796
-
- Internal Medicine Physician
- Clackamas, OR
- NPI 1740719103
-
- Audiologist
- Portland, OR
- NPI 1912949694
-
- Surgical Physician Assistant
- Salem, OR
- NPI 1245564491
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1760642565
-
- Psychiatry Physician
- Sherwood, OR
- NPI 1215980099
-
- Internal Medicine Physician
- Tualatin, OR
- NPI 1194019190
-
- Hematology & Oncology Physician
- Portland, OR
- NPI 1679772743
-
- Mental Health Counselor
- Portland, OR
- NPI 1427431170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1982959565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322023",
"telephone_number": "503-813-2440",
"fax_number": "503-813-2507"
},
{
"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": "503-813-2440",
"fax_number": "503-813-2507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-19",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "SHAWN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, REVENUE CYCLE",
"authorized_official_telephone_number": "503-813-2440"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "500 NE Multnomah St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972322023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "KFHP Longview/Kelso Area",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "KFHP Longview/Kelso Area",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest (Kaiser Permanente Mail Order Pharmacy)
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest (Kaiser Permanente Continuing Care Services Hospice)
- Kaiser Foundation Health Plan of the NW
- Kaiser Foundation Hospitals (Center For Health Research)
- Kaiser Foundation Hospitals (Kaiser Central Peritoneal Dialysis Facility)
- Kaiser Foundation Hospitals (Interstate South ASC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.