KAISER FOUNDATION HEALTH PLAN (NPI# 1285960732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285960732 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN |
| Other Organization Name | CENTRAL INTERSTATE MEDICAL OFFICE |
| Practice Address |
3600 N Interstate Ave Portland OR 97227-1106 |
| Mailing Address |
500 Ne Multnomah St Portland OR 97232-2023 |
| Practice Telephone | 5035287458 |
| Mailing Telephone | 5038134939 |
| Mailing Fax Number | 5038134967 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | SHAWN BARTON (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Telephone | 5038132440 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MAM CERTIFICATION | 119040 | 01 |
| Other Name | Type Code |
|---|---|
| Central Interstate Medical Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326336041 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 81-6350 Mamalahoa Hwy, Kealakekua, HI 96750-8132 | 2011-07-14 |
| 1003934266 | Kaiser Foundation Health Plan | Health Maintenance Organization | 1001 Lakeside Ave, Suite 1200, Cleveland, OH 44114 | 2007-03-27 |
| 1114093895 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 10 Severance Circle, Cleveland Heights, OH 44118 | 2006-11-27 |
| 1407862030 | Kaiser Foundation Health Plan | Health Maintenance Organization | 711 Kapiolani Blvd, Honolulu, HI 96813-5237 | 2006-08-01 |
| 1992712202 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 56-565 Kamehameha Hwy, Kahuku, HI 96731-2202 | 2006-08-01 |
| 1679588057 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 74-517 Honokohau St, Kailua Kona, HI 96740 | 2006-07-31 |
| 1649285180 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 87-2116 Farrington Hwy, Waianae, HI 96792-3854 | 2006-07-31 |
| 1285649665 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 67-1185 Mamalahoa Hwy Unit A, Parker Ranch Shopping Center, Kamuela, HI 96743-8412 | 2006-07-31 |
| 1801329800 | Kaiser Foundation Health Plan | Health Maintenance Organization | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2017-04-06 |
| 1376093252 | Kaiser Foundation Health Plan | Clinic/Center | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2016-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KAISER FOUNDATION HEALTH PLAN | 393 E Walnut St, Pasadena, CA 91188-0001 |
| Colorado Business Entities | Kaiser Foundation Health Plan | 1942 Broadway St. Ste 314c, Boulder, CO 80302 |
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Colorado Business Entities | KAISER FOUNDATION HEALTH PLAN OF COLORADO | One Kaiser Plaza, Oakland, CA 94612 |
| Connecticut Business Registrations | KAISER FOUNDATION HEALTH PLAN OF CONNECTICUT,INC. | 1 Chp Plaza, Latham, NY 12110 |
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 1 Kaiser Plz, Oakland, CA 94612-3610 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 601 Union St #3100, Seattle, WA 98101 |
| Street Address |
3600 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958885 | Stefani K Cozine | Audiologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2005-08-09 |
| 1780223479 | Melissa M Tufts | Nurse Practitioner | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-12-30 |
| 1699324061 | Natalie Waligorski | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-09-09 |
| 1275186223 | Angela Marie Maroon | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-07-18 |
| 1801457130 | Alena Rose Faulkner | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-06-26 |
| 1720645872 | Kirsten Kadoyama | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227 | 2019-05-23 |
| 1376109017 | Yuliya M Byakina | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-05-17 |
| 1417491846 | Rachael Highton | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-12-04 |
| 1558812107 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-10-19 |
| 1871956136 | Alise Nichole Roberson | Optometrist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| 1710064035 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2270 Se 39th Ave, Portland, OR 97214-5916 | 2006-11-01 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.