INTERSTATE MEDICAL OFFICE EAST
NPI 1093266645
General Practice in Portland, OR

Q: What is Kaiser Foundation Health Plan Of The Northwest's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 19, 2016

3550 N INTERSTATE AVE, PORTLAND, OR 97227(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: August 16, 2026.

Record update history: Jun 1, 2021, Oct 19, 2016 (2 updates tracked since 2016).

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About Interstate Medical Office East NPPES

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

INTERSTATE MEDICAL OFFICE EAST (NPI 1093266645) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since October 2016. The organization lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1093266645

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address3550 N INTERSTATE AVEPortland, OR 97227-1196

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 DateOctober 19, 2016

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1093266645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3550 N INTERSTATE AVE, Portland, OR 97227

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Other Names 1

Other NameInterstate Medical Office East

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Other Providers at the Same Location NPPES 20

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

JAMES PAUL BRYANT LCSW, CADC 3

Counselor

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 964-0000

ALISON D. ARMOUR PSYD

Psychologist (Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 813-2000

MS. JESSICA A DUDLEY FNP

Nurse Practitioner (Family)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 746-1575

DANAYA LEE HALL SWHNP

Nurse Practitioner

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (800) 813-2000

MS. JANET LEE MUCKRIDGE RD LD

Dietitian, Registered

3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227

Multnomah County (503) 286-6871

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Pharmacy (Managed Care Organization Pharmacy)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (866) 279-6122

COURTNEY JOHNSON LCSW

Social Worker (Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (800) 813-2000

CHIA NENG VANG RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (866) 279-6122

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 Of The Northwest's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Northwest is 1093266645. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is also known as Interstate Medical Office East.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (800) 813-2000.

What is Kaiser Foundation Health Plan Of The Northwest's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Kaiser Foundation Health Plan Of The Northwest accept?

Health plans from Kaiser Permanente list Kaiser Foundation Health Plan Of The Northwest as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of The Northwest was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.