Commercial

How to Get Credentialed with Kaiser Permanente in Oregon

Network: Varies
60-90 Days CAQH Required

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Oregon-Specific Requirements

Kaiser Permanente Northwest serves the Portland metro area and extends into SW Washington as a closed-model HMO. Most providers are Northwest Permanente medical group employees. External providers may credential for community referral network. Apply through KP Northwest's community provider portal. OR state license required. Limited external credentialing.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Oregon.

2

Complete Your CAQH ProView Profile

Kaiser Permanente requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Kaiser Permanente.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum; gaps > 6 months must be explained

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

3 peer references required

W9_FORM

Required for EFT/tax reporting setup

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Required
Online Open →

Kaiser Permanente Provider Application

Required
Online

Contact Information

EDI Support

National

1-888-767-4670

ITEISSupportDL@kp.org

EFT/ERA (InstaMed)

National

1-877-833-6821

connect@instamed.com

Initial Credentialing (Northern CA)

National

Fax: 1-866-214-7584

Recredentialing (Northern CA)

National

Fax: 1-866-232-0147

Provider Services (WA)

National

1-888-767-4670

kpwa.provider-services@kp.org

Permanente Advantage

National

PermAdvantageTeam-KPPA@kp.org

Fax: 1-866-338-0266

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