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KAISER PERMANENTE NPI 1265676605


NPI Information

NPI: 1265676605
Provider Name: KAISER PERMANENTE
Classification: Special Hospital - 284300000X
Entity Type: Organization
Address:
10180 SE SUNNYSIDE AVE 1ST FLOOR, WING A
BROOKSIDE CENTER RESIDENTIAL TREATMENT
CLACKAMAS, OR
ZIP 97015
Phone: (503) 571-0858
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KAISER PERMANENTE is a special hospital in Clackamas, OR. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. KAISER PERMANENTE NPI is 1265676605. The provider is registered as an organization entity type.

The provider's business location address is:

10180 SE SUNNYSIDE AVE 1ST FLOOR, WING A
BROOKSIDE CENTER RESIDENTIAL TREATMENT
CLACKAMAS, OR
ZIP 97015-303
Phone: (503) 571-0858

The provider's authorized official is Johnny Dean Gonzales .
The authorized official title is Milieu Counselor and has the following contact phone number (503) 571-0858.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1284300000XSpecial HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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