KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1598919565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598919565 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Practice Address |
1160 Wallace Rd Nw Salem OR 97304-3116 |
| Mailing Address |
500 Ne Multnomah St Portland OR 97232-2023 |
| Practice Telephone | 5033154043 |
| Mailing Telephone | 5038134939 |
| Mailing Fax Number | 5038134967 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MR. ANDREW R MCCULLOCH (REGIONAL PRESIDENT) |
| Authorized Official Telephone | 5038133805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| 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 |
| 1992242093 | Kaiser Foundation Health Plan of The Northwest | Dentist | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2017-01-26 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1093142234 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1700 Ne 102nd Ave., Portland, OR 97220 | 2013-10-02 |
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1215976014 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2006-06-06 |
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
| 1962456194 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
| Street Address |
1160 WALLACE RD NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760450308 | Barbara G C Hoover | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2006-03-09 |
| 1235789298 | Dorian Truong | Physician Assistant | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2019-09-11 |
| 1306398250 | Kaiser Foundation Health Plan of The Northwest | General Practice | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2016-10-26 |
| 1003235474 | Bethany Wohletz | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2014-04-14 |
| 1174768576 | Tatiana O Anderson | Pharmacist | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-12-14 |
| 1437306578 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-08-20 |
| 1609043116 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-05-14 |
| 1760668636 | Steven R Thorvilson | Pharmacist | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-01-10 |
| 1851584700 | Suzanne Marie Deschamps | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2007-08-23 |
| 1043392012 | Mark Warren Olson | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989307 | Light Point Labs LLC | Clinical Medical Laboratory | 56 Stiles Rd Ste 204, Salem, NH 03079-4807 | 2020-10-15 |
| 1245881721 | Laboratory Corporation of America | Clinical Medical Laboratory | 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 | 2019-09-25 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1831664515 | A Worksafe Service, Inc. | Clinical Medical Laboratory | 1696 Capitol St Ne, Salem, OR 97301-7855 | 2018-10-09 |
| 1598159550 | Hoh. LLC | Clinical Medical Laboratory | 1115 Barnes Ave Se, Salem, OR 97306-1541 | 2015-03-26 |
| 1164828430 | Reliable Mobile Labs, Inc. | Clinical Medical Laboratory | 1932 Mcgilchrist St. Se, Salem, OR 97302 | 2014-11-13 |
| 1811225865 | Pacific Pathology Associates, Inc | Clinical Medical Laboratory | 3300 State St, Salem, OR 97301-5063 | 2009-12-03 |
| 1679592208 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 200 Hawthorne Ave Se, Ste D440, Salem, OR 97301-5288 | 2006-07-18 |
| 1215975438 | Salem Family Medicine Inc | Clinical Medical Laboratory | Rr 1 Box 75-1, Old Route 50 West, Salem, WV 26426-9604 | 2006-06-02 |
| 1396720397 | Laboratory Corporation of America | Clinical Medical Laboratory | 150 Kingwood Ave Nw, Salem, OR 97304-4030 | 2005-12-13 |
| Find all providers in SALEM | ||||
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| 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.