OrganizationActive
Kaiser Foundation Health Plan of the Northwest
NPI 1053563015 · Multi-Specialty Clinic/Center · Vancouver, WA
Provider details
- NPI number
- 1053563015
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Kaiser Foundation Health Plan of the Northwest
- Organization subpart
- Yes
- Authorized official
- Shawn Barton, Executive Director, Revenue Cycle(503) 813-2440
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12607 Se Mill Plain Blvd
Cascade Park Medical Office
Vancouver, WA 98684-6055
Phone: (800) 813-2000
Approximate (ZIP-level) locationGet directions
Mailing address
12607 Se Mill Plain Blvd
Vancouver, WA 98684-6055
Other names (DBA / former)
- Doing business as
- Cascade Park Medical Office
- Doing business as
- Cascade Park Medical Office
Registry dates
- Enumerated
- 2008-10-21
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.