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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

ODS Traditional (ODS refers to the plan as Delta Dental Premier)
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
www.odscompanies.com/PEBB

6570 Pebb.Benefits Number

ODS Preferred (ODS refers to the plan as Delta Dental PPO)
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
www.odscompanies.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.

Life & Disability Policy Number Address & Website
Optional Life 606814-B  

Accidental Death & Dismemberment

603073-A  

Short-term Disability

442210-C  

Long-term Disability

606717-A  
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