INTERSTATE MEDICAL OFFICE SOUTH
NPI 1467903013
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

3500 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 09, 2026.

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

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About Interstate Medical Office South NPPES

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

INTERSTATE MEDICAL OFFICE SOUTH (NPI 1467903013) 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

NPI1467903013

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address3500 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 1467903013 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

3500 N INTERSTATE AVE, Portland, OR 97227

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Other Names 1

Other NameInterstate Medical Office South

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.

MR. JASON JOHN POWERS M.D.

Internal Medicine (Gastroenterology)