Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kaiser Foundation Health Plan of the Northwest

Organization General Practice Physician · NPI 1093266645

Kaiser Foundation Health Plan of the Northwest provides General Practice Physician services in Portland, Oregon. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (800) 813-2000
Fax: (503) 286-6879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1093266645
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Northwest
Authorized official Stephen Barton — Executive Director, Revenue Cycle · (503) 813-2440
Other names Interstate Medical Office East; Interstate Medical Office East
NPI enumeratedOctober 19, 2016
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address500 Ne Multnomah St, Portland, OR 97232-2023

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