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 1881369361

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

In the registry since
2021
Specialties on file
2

Practice location Address checks out

17885 NW Evergreen Pkwy Ste 220
Beaverton, OR 97006-7494
Phone: (800) 813-2000
Show map & directions

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 number1881369361
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 Tanasbourne Kpoj
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address500 Ne Multnomah St, Portland, OR 97232-2023

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