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COLUMBIA TECH KPOJ
NPI 1306511878
General Practice in Vancouver, WA

Active since August 16, 2021CLIA 50D2240066 · Waiver
17700 SE MILL PLAIN BLVD STE 190, VANCOUVER, WA 98683(800) 813-2000 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2021, Aug 16, 2021 (2 updates tracked since 2021).

About Columbia Tech Kpoj NPPES

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

COLUMBIA TECH KPOJ (NPI 1306511878) is a healthcare organization registered as a general practice in Vancouver, Washington and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1306511878
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address17700 SE MILL PLAIN BLVD STE 190Vancouver, WA 98683-7582
Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000
Phone(800) 813-2000
Organization SubpartYesParent: Kaiser Foundation Health Plan Northwest
Authorized OfficialStephen Shawn BartonExecutive Director, Revenue Cycle · (503) 813-2440
Enumeration DateAugust 16, 2021
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1306511878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
17700 SE MILL PLAIN BLVD STE 190, Vancouver, WA 98683
Open in Google Maps ↗

Other Names 1

Other NameColumbia Tech Kpoj

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2240066

Columbia Tech Kpoj · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2240066
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJohn P. Seymour
Laboratory Phone(503) 571-3366
Laboratory LocationColumbia Tech Kpoj17700 SE Mill Plain Blvd, Vancouver, WA 98683
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ANNE E HETTICK DPT
Physical Therapist
17700 SE MILL PLAIN BLVD STE 190
VANCOUVER, WA 98683
Clark County (503) 571-5853
MATTHEW RYAN CAMPBELL MD
Preventive Medicine (Occupational Medicine)
17700 SE MILL PLAIN BLVD STE 190
VANCOUVER, WA 98683
Clark 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 Of The Northwest's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Northwest is 1306511878. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is also known as Columbia Tech Kpoj.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 17700 SE Mill Plain Blvd Ste 190, Vancouver, WA 98683. 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.

Does Kaiser Foundation Health Plan Of The Northwest hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2240066) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of The Northwest was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.