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Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5125 SKYLINE RD S
SALEM, OR97306-9427
 Phone: 503-315-4650
 Fax: 503-315-4682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1366836041
LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Authorized official ALFRED LYMAN - (EXEC. DIRECTOR PHARMACY SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2015
Last updated 03/07/2023 - About 3 years ago
Identifiers
OR Medicaid 500687040
OR Other 3845522 NCPDP
OR Other RP0003050CS STATE LICENSE
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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