Kaiser Foundation Health Plan Northwest
NPI 1073030730 · Family Medicine Physician · Portland, OR
Provider details
- NPI number
- 1073030730
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Kaiser Foundation Health Plan Northwest
- Organization subpart
- Yes
- Authorized official
- Stephen Barton, Executive Director, Revenue Cycle(503) 813-2440
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Nurse163W00000X
Nursing Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Nurse Specialist364S00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Kaiser Permanente 3 to PHD Wellness Center
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.