Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaiser Foundation Health Plan of the Northwest

Organization Optometrist · NPI 1104378140

Kaiser Foundation Health Plan of the Northwest is an Optometrist in Portland, Oregon. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
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Practice location Address checks out

12100 SE Stevens Ct Ste 106
Portland, OR 97086-4707
Phone: (800) 813-2000
Fax: (503) 286-6879
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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
Optometrist Taxonomy 152W00000X
Technician/Technologist Taxonomy 156F00000X

Record details

NPI number1104378140
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 Clackamas Eye Care; Clackamas Eye Care
NPI enumeratedOctober 25, 2016
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address500 Ne Multnomah St, Portland, OR 97232-2023

Other providers in Portland