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

Kaiser Foundation Health Plan of the Northwest

Organization General Practice Physician · NPI 1568130854

Kaiser Foundation Health Plan of the Northwest provides General Practice Physician services in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1620 NE 122nd Ave
Portland, OR 97230-1913
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1568130854
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 San Rafael Kpoj
NPI enumeratedSeptember 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateSeptember 16, 2021
Mailing address500 Ne Multnomah St, Portland, OR 97232-2023

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