| Care Essentials By Kaiser Permanente - Hawthorne | |
|
3060 Se Hawthorne Blvd Portland OR 97214-4121 | |
| (800) 813-2000 | |
| (503) 286-6879 |
| Full Name | Care Essentials By Kaiser Permanente - Hawthorne |
|---|---|
| Speciality | General Practice |
| Location | 3060 Se Hawthorne Blvd, Portland, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Essentials By Kaiser Permanente - Hawthorne 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Care Essentials By Kaiser Permanente - Hawthorne 3060 Se Hawthorne Blvd Portland OR 97214-4121 Ph: (800) 813-2000 |
| NPI Number | 1063990695 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063990695 | NPI | - | NPPES |
| 500728475 | Medicaid | OR |
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