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Participating and Select Provider Directory

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Participating and Select Provider Directory PUBLISHED PARTICIPATING AND September SELECT PROVIDER DIRECTORY 2021 THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE, CLASSIC + DENTAL CHOICE, ADDED CHOICE, ADDED CHOICE + DENTAL CHOICE KAISER PERMANENTE NORTHWEST REGION Listed providers are part of Northwest Help in your language If your NWPMG physician decides that you Permanente, P.C., Physicians and Surgeons, or Interpreter services, including American Sign require covered services not available internally Kaiser Foundation Health Plan of the Northwest. Language (ASL), are available during business from an NWPMG physician, he or she may The information in this directory is updated hours at no additional cost to members. Many refer you to an affiliated community physician/ monthly. For the most up-to-date information, of our doctors also speak more than one provider. You must have a written, authorized please visit kp.org or contact Member language. Call 1-800-324-8010 (toll free), or referral from Kaiser Foundation Health Plan of Services at 1-800-813-2000. The availability of 1-800-813-2000 (toll free) or 711 (TTY). the Northwest to receive a covered service from physicians, hospitals, providers, and services an affiliated community physician/provider.* may change. Information about practitioners For specific license information, including is provided to us by the practitioners or is malpractice history and disciplinary actions, you obtained as part of the credentialing process can call the Oregon Medical Board at 971-673- COVID-19 Update: To help ensure the safety of our members, staff, and community, we and is accurate as of the date on the directory. 2700 or the Washington State Department of Health at 360-236-4700. may need to temporarily close or limit in- If you have questions, please call Member person services at some of our medical and Services from 8 a.m. to 6 p.m., Monday through To report provider directory inaccuracies, dental facilities. You can still get the care you Friday, at 1-800-813-2000. For TTY, call 711. please call Member Services at 1-800-813- need, including in-person emergency care, For language interpretation services, call 2000 or go to kp.org/webmanager. e-visits, phone or video visits, and more. 1-800-324-8010. Referrals to affiliated community physicians/ For the most up to date information please visit kp.org/coronavirus. Kaiser Permanente providers complete providers in Oregon and Washington accredited cultural competency training. Affiliated community physicians/providers are Oregon Medicaid members: For information not part of the Northwest Permanente Medical about Ride to Care, call 503-416-3955, toll Group (NWPMG). free at 855-321-4899 or visit ridetocare.com. * To view or download the Affiliated Provider Directory go to kp.org/directory/nw. If you do not have Internet access or would like a printed copy of our Affiliated Provider Directory, please call Member All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. Services from 8 a.m. to 6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711. For 500 NE Multnomah St., Suite 100, Portland, OR 97232. language interpretation services, call 1-800-324-8010. 19414_09-21 Accessibility of medical offices and medical Telehealth/Telemedicine Appointment Options centers in this directory All Kaiser Permanente facilities are accessible CARE, ANYWHERE. to members. Save time, stay comfortable, and get urgent, primary, and specialty care via phone or video — from home, work, or anywhere else on your camera-equipped computer, tablet, For members enrolled through the Federal or smartphone. Employees Health Benefits (FEHB) program Phone and video visits are great for minor health conditions and follow-up care. It is important to know that when you enroll in this Plan, services are provided Phone through the Plan’s delivery system as described in the Plan’s federal brochure, Get care by phone 24/7, or schedule a phone appointment with your provider. but the continued participation of any one doctor, hospital, or other provider cannot Video be guaranteed. Meet face-to-face with a provider online by computer, smartphone, or tablet. All NWPMG physicians/providers speak English. If a provider speaks Connect for Care Anywhere another language, it is included in the Schedule a phone or video visit today by going to kp.org/getcare or calling following pages. 1-800-813-2000 (TTY 711). Mobile users, download the Kaiser Permanente app on your tablet or smartphone to get started. For technical support, call 1-844-800-0826. E-Visits Now offering online medical consultations on kp.org. If you have a nonurgent medical condition at any time and you’re not sure what kind of care you need, an e-visit may be a good option for you. An e-visit is an online medical consultation with a Kaiser Permanente advice nurse that’s available at no cost for select medical conditions such as nausea/vomiting, pink eye, female UTI, sore throat, sinus issues, constipation, and diarrhea. Provider selection criteria Tiered network criteria Kaiser Foundation Health Plan of the Northwest (KFHPNW) offers Kaiser Foundation Health Plan of the Northwest offers three tiered several networks that are comprised of the Kaiser Permanente networks including Added Choice, Added Choice + Dental Choice, integrated health care delivery system. The primary contracted and PPO Plus. The primary contracted provider groups and facilities provider groups and facilities that participate include: Northwest that participate in Tier 1 include: Northwest Permanente, P.C., Permanente, P.C., Physicians and Surgeons, facilities owned Physicians and Surgeons, facilities owned and operated by Kaiser and operated by Kaiser Foundation Hospitals (hospitals, Kaiser Foundation Health Plan (Kaiser Permanente Medical Offices and Permanente medical offices, Kaiser Permanente pharmacies), Pharmacies), Kaiser Foundation Hospitals (hospitals), The Portland The Portland Clinic, The CHP Group, and contracted hospitals. In Clinic, and contracted hospitals. general, the networks contain physicians, specialists and facilities to The Added Choice and Added Choice + Dental Choice networks are provide services to individuals and groups covered under all Kaiser comprised of the Kaiser Permanente integrated health care delivery Permanente plans. system (as described above) and The CHP Group for Tier 1, and First Prior to allowing network participation, providers must successfully Choice Health PPO Network (or First Health Network for members complete the initial credentialing process and demonstrate their in states other than OR, WA, ID, MT, WY, ND, SD and AK) for Tier 2. ongoing ability to meet credentialing standards through a re- The Added Choice networks are designed to allow members access credentialing process. Providers are required to provide the to all that Kaiser Permanente offers plus the option to seek care from information needed to review and verify their credentials. To ensure providers outside our network. Tier 1 providers can be located on quality and safety of care between re-credentialing cycles, Kaiser kp.org and chpgroup.com. Tier 2 providers can be located at Permanente performs ongoing monitoring of the participating kp.org/addedchoice. Non-participating providers and facilities are provider’s performance. Kaiser Permanente acts on important quality Tier 3 providers. or safety issues in a timely manner by taking appropriate action To verify board certification for an individual practitioner, please visit against a participating provider when occurrences of poor quality the American Board of Medical Specialties (http://www.abms.org/ are identified. member-boards/specialty-subspecialty-certificates/), the American We also monitor and analyze member feedback relating to network Medical Association (https://www.ama-assn.org/), or the American access, availability of providers, and cultural needs and preferences. Osteopathic Association (https://www.osteopathic.org/) websites. This information helps guide our network improvement efforts. Abbreviations of medical titles ANP Adult Nurse Practitioner DPM Doctor of Podiatric Medicine MSN Master of Science and Nursing ARNP Advanced Registered FACS Fellow of the American College MSSW Master of Science in Social Nurse Practitioner of Surgeons Work AuD Doctor of Audiology FNP Family Nurse Practitioner MSW Master of Social Work BA Bachelor of Arts GNP Geriatric Nurse Practitioner NP Nurse Practitioner BS Bachelor of Science LAc Licensed Acupuncturist OD Doctor of Optometry CADC Certified Alcohol and Drug LCSW Licensed Clinical Social Worker PA Physician Assistant Counselor (I, II, III) LMFT Licensed Marriage and PA-C Physician Assistant-Certified CCMHC Certified Clinical Mental Family Therapist Health Counselor PhD Doctor of Philosophy LPC Licensed Professional CDE Certified Diabetes Educator Counselor PMHNP Psychiatric Mental Health Nurse Practitioner CDP Chemical MA Master of Arts Dependency Professional PNP Pediatric Nurse Practitioner MD Medical Doctor CFNP Certified Family PsyD Doctor of Psychology MEd Master of Education Nurse Practitioner RC Registered Counselor CNM Certified Nurse-Midwife MMFT Master of Marriage and Family Therapy RD Registered Dietitian CRNA Certified Registered RN Registered Nurse Nurse Anesthetist MN Master of Nursing MPH Master of Public Health WHCNP Women’s Health Care DO Doctor of Osteopathy Nurse Practitioner MS Master of Science Participating and Select Providers, Kaiser Permanente, Northwest Region. 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