NPI | 1073030730 |
---|---|
Other Name | KAISER PERMANENTE 3 TO PHD WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 163W00000X Registered Nurse |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2017-08-24 |
Last Update Date | 2021-06-01 |