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 General Practice Physician · NPI 1568130854

Kaiser Foundation Health Plan of the Northwest is a General Practice Physician 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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