WOU: Provider Information

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Provider information

Medical Plans    Group Number     Member Number    

Kaiser Permanente HMO
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000
www.kp.org/ehealth/nw/pebb

7029    Assigned by carrier    

Kaiser Added Choice
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000
www.kp.org/ehealth/nw/pebb

14029    Assigned by carrier    

PEBB Statewide Plan (Administered by Providence)
PO Box 3125
Portland, OR 97208-3125
Phone: (800)423-9470
http://www.providence.org/healthplans/pebb/

108601    Assigned by carrier    

Providence Choice
PO Box 3125
Porltand, OR 97208-3125
Phone: (800) 878-4445
http://www.providence.org/healthplans/pebb/choice.aspx

106528    Assigned by carrier    
Vision Plan (Except for Kaiser Members)    Group Number     Member Number    

Vision Service Plan (VSP)
PO Box 997105
Sacramento, CA 95899
Phone: (800) 877-7195
www.vsp.com

12179989    Pebb.Benefits Number    
Dental Plans     Group Number     Member Number    

Willamette Dental
14025 SW Farmington Road, Ste 300
Beaverton, OR 97005
Phone: (800) 460-7644
www.willamettedental.com

Z250I    Pebb.Benefits Number    

Moda Health Premier (Previously ODS Traditional)
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
www.modahealth.com/PEBB

6570    Pebb.Benefits Number    

Moda Health PPO (Previously ODS Preferred)
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
www.modahealth.com/PEBB

6571    Pebb.Benefits Number    

Kaiser Permanente
500 NE Multnomah, Ste 100
Portland, OR 97232-2099
Phone: (800) 813-2000
www.krp.org

7029    Assigned by carrier   

Don't know your Pebb.Benefits number, or have other questions?
Contact the Office of Human Resources at 503-838-8963.

Optional Plans

Plan Type     Policy Number    
The Standard
PO Box 2800
Portland, OR 97208
Phone: Life Insurance/AD&D: (800)628-8600
Phone: Short-Term Disability: (800) 368-2859
Phone: Long-Term Disability: (800) 368-1135
http://www3.standard.com/net/public/Individuals    Optional Life Insurance     606814-B   
Accidental Death & Dismemberment     603073-A   
Short-Term Disability     442210-C   
Long-Term Disability     606717-A   
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