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LAKE ROAD NEPHROLOGY CENTER
NPI 1700337870
General Practice in Milwaukie, OR

Active since October 24, 2016
6902 SE LAKE RD, SUITE 100, MILWAUKIE, OR 97267(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 02, 2026.

Record update history: Jun 1, 2021, Oct 24, 2016 (2 updates tracked since 2016).

About Lake Road Nephrology Center NPPES

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

LAKE ROAD NEPHROLOGY CENTER (NPI 1700337870) is a healthcare organization registered as a general practice in Milwaukie, 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

NPI1700337870
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address6902 SE LAKE RD, SUITE 100Milwaukie, OR 97267-2148
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 24, 2016
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1700337870 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
6902 SE LAKE RD, Milwaukie, OR 97267
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Other Names 1

Other NameLake Road Nephrology Center

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 17

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

LEAH A SWETNAM MD
Internal Medicine (Nephrology)
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (503) 786-1150
EEVA S GRAY RD, CDE
Dietitian, Registered
6902 SE LAKE RD, SUITE 100
MILWAUKIE, OR 97267
Clackamas County (503) 786-1149
ANAHATA MEDICINE
Acupuncturist
6902 SE LAKE RD, STE 203
MILWAUKIE, OR 97267
Clackamas County (503) 547-7870
DR. CATHRYN LEE WISE MD
Internal Medicine (Nephrology)
6902 SE LAKE RD, SUITE 100
MILWAUKIE, OR 97267
Clackamas County (503) 786-1167
HYON MI KIM RDH
Dental Hygienist
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (503) 659-0930
LOIS AMY TOBIN RD,CSR,LD
Dietitian, Registered (Nutrition, Renal)
6902 SE LAKE RD, SUITE 302
MILWAUKIE, OR 97267
Clackamas County (503) 786-1148
MARY JEDDA
Counselor (Addiction (Substance Use Disorder))
6902 SE LAKE RD
MILWAUKIE, OR 97267
Clackamas County (971) 400-9256
TIMOTHY PAVLATOS M.S.
Counselor (Professional)
6902 SE LAKE RD, SUITE 202
MILWAUKIE, OR 97267
Clackamas County (503) 652-2810

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 1700337870. It was assigned to this organization in the NPPES registry on October 24, 2016. The provider is also known as Lake Road Nephrology Center.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 6902 SE Lake Rd Suite 100, Milwaukie, OR 97267. 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.

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.