KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PORTLAND, OR
NPI1982156113
Other NameGRAND AVENUE DENTAL OFFICE
Entity TypeOrganization
Authorized ContactKENNETH R WRIGHT
VP Dental Care Services
503-813-4660
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2016-11-04
Last Update Date2021-06-01
Business Address
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 800-813-2000
Mailing Address
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
500 NE MULTNOMAH ST
PORTLAND, OR 97232-2023
Phone number: 800-813-2000