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KAISER PERMANENTE 3 TO PHD WELLNESS CENTER
NPI 1073030730
Family Medicine in Portland, OR

Active since August 24, 2017
2930 NE DEKUM ST, PORTLAND, OR 97211(800) 813-2000(503) 286-6879 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2021, Aug 24, 2017 (2 updates tracked since 2017).

About Kaiser Permanente 3 To Phd Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE 3 TO PHD WELLNESS CENTER (NPI 1073030730) is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since August 2017. The organization lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1073030730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN NORTHWEST
Location Address2930 NE DEKUM STPortland, OR 97211-6613
Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000 · Fax (503) 286-6879
Phone(800) 813-2000
Fax(503) 286-6879
Organization SubpartYes
Authorized OfficialStephen Shawn BartonExecutive Director, Revenue Cycle · (503) 813-2440
Enumeration DateAugust 24, 2017
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1073030730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
2930 NE DEKUM ST, Portland, OR 97211
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Other Names 1

Other NameKaiser Permanente 3 To Phd Wellness Center

Other Identifiers 2

Medicaid147090OR
Medicaid7857501WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA LYNN SHERRETT EFDA
Dental Assistant
2930 NE DEKUM ST
PORTLAND, OR 97211
Multnomah County (503) 916-5908
SARAH HOHM CCC-SLP
Speech-Language Pathologist
2930 NE DEKUM ST
PORTLAND, OR 97211
Multnomah County (503) 916-5686
KAISER FOUNDATION HEALTH PLAN NORTHWEST
Dentist
2930 NE DEKUM ST
PORTLAND, OR 97211
Multnomah County (800) 813-2000
KAISER PERMANENTE DENTAL CARE PROGRAM
Dentist
2930 NE DEKUM ST
PORTLAND, OR 97211
Multnomah County (800) 813-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Northwest's NPI number?

The NPI number for Kaiser Foundation Health Plan Northwest is 1073030730. It was assigned to this organization in the NPPES registry on August 24, 2017. The provider is also known as Kaiser Permanente 3 To Phd Wellness Center.

Where is Kaiser Foundation Health Plan Northwest located?

Kaiser Foundation Health Plan Northwest is located at 2930 NE Dekum St, Portland, OR 97211. The listed phone number is (800) 813-2000.

What is Kaiser Foundation Health Plan Northwest's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Northwest was last updated on June 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.