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TANASBOURNE KPOJ
NPI 1881369361
General Practice in Beaverton, OR

Active since August 16, 2021CLIA 38D2234272 · Waiver
17885 NW EVERGREEN PKWY STE 220, BEAVERTON, OR 97006(800) 813-2000 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Tanasbourne Kpoj NPPES

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

TANASBOURNE KPOJ (NPI 1881369361) is a healthcare organization registered as a general practice in Beaverton, Oregon and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1881369361
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address17885 NW EVERGREEN PKWY STE 220Beaverton, OR 97006-7494
Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000
Phone(800) 813-2000
Organization SubpartYes
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 1881369361 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
17885 NW EVERGREEN PKWY STE 220, Beaverton, OR 97006
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Other Names 1

Other NameTanasbourne 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 38D2234272

Tanasbourne Kpoj · Beaverton, OR
Active · expires Aug 29, 2027
CLIA Number38D2234272
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorDr. John P. Seymour
Laboratory Phone(503) 505-3857
Laboratory LocationTanasbourne Kpoj17885 NW Evergreen Pkwy, Beaverton, OR 97006
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1881369361. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is also known as Tanasbourne Kpoj.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 17885 NW Evergreen Pkwy Ste 220, Beaverton, OR 97006. 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 38D2234272) is associated with this NPI, valid through August 29, 2027. 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 with the weekly NPPES data releases published by CMS.