KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST; NPI #1407803513

Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106

Phone: 503-331-6570
Fax: 503-331-6575
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI # 1407803513

LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Authorized official ALFRED LYMAN - (EXECUTIVE DIRECTOR, REGIONAL PHARMA)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2006

Last updated 06/01/2021 - About 5 years ago

Identifiers

OR	License #	RP-0001284-CS
WA	License #	PHNR.FO.60658960
OR	Medicaid	136635
WA	Medicaid	6019434
	Other	2078433	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Contact Information

Specialty

Clinic Pharmacy

Managed Care Organization Pharmacy

Pharmacy

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Reviews for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST