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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Organization (NPI-2) Active

Dentist, General Practice

Provider Information

NPI Number
1437601713
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
360 NW BURNSIDE RD, GRESHAM, OR, 970303852
Phone
(800) 813-2000
Fax
(503) 286-6879

Specialties & Taxonomies

Dentist, General Practice Primary

All Addresses

LOCATION

360 NW BURNSIDE RD

GRESHAM, OR, 970303852

(800) 813-2000

MAILING

500 NE MULTNOMAH ST

PORTLAND, OR, 972322023

(800) 813-2000