CLACKAMAS EYE CARE
NPI 1104378140
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 25, 2016

12100 SE STEVENS CT, SUITE 106, PORTLAND, OR 97086(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 09, 2026.

Record update history: Jun 1, 2021, Oct 25, 2016 (2 updates tracked since 2016).

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About Clackamas Eye Care NPPES

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

CLACKAMAS EYE CARE (NPI 1104378140) 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

NPI1104378140

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address12100 SE STEVENS CT, SUITE 106Portland, OR 97086-4707

Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (503) 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 25, 2016

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1104378140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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

Also ListedOptometristTaxonomy 152W00000X

Also ListedTechnician/TechnologistTaxonomy 156F00000X

12100 SE STEVENS CT, Portland, OR 97086

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Other Names 1

Other NameClackamas Eye Care

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 11

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

NATASHA KIM KYE MD

Ophthalmology

12100 SE STEVENS CT
HAPPY VALLEY, OR 97086

Clackamas County (503) 353-7284

MR. PATRICK RAYMOND BUCZKOWSKI OPTICIAN

Technician/Technologist (Optician)

12100 SE STEVENS CT, SUITE 106
HAPPY VALLEY, OR 97086

Clackamas County (503) 353-7300

ZAKARY SCOTT HOFFELT MD

Ophthalmology

12100 SE STEVENS CT, SUITE 106
PORTLAND, OR 97086

Clackamas County (503) 653-1442

DR. ELISE KARLAN TIMTIM MD

Ophthalmology

12100 SE STEVENS CT
CLACKAMAS, OR 97086

Clackamas County (800) 813-2000

JONATHAN B GREENE MD

Ophthalmology

12100 SE STEVENS CT, SUITE 106
CLACKAMAS, OR 97086

Clackamas County (503) 652-2880

DR. JONATHAN RUSSELL OD

Optometrist

12100 SE STEVENS CT, SUITE 106
CLACKAMAS, OR 97086

Clackamas County (503) 353-7300

DR. VONNY NGANTUNG, D.D.S, M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

12100 SE STEVENS CT, SUITE: 102
HAPPY VALLEY, OR 97086

Clackamas County (503) 659-7455

DR. EDWARD NICHOLAS MULDER O.D.

Optometrist

12100 SE STEVENS CT, STE. 106
PORTLAND, OR 97086

Clackamas County (503) 353-7300

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 1104378140. It was assigned to this organization in the NPPES registry on October 25, 2016. The provider is also known as Clackamas Eye Care.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 12100 SE Stevens Ct Suite 106, Portland, OR 97086. 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.