Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Non-Pharmacy Dispensing Site · Portland, OR

NPI number 1275988230 Active

Practice location

5717 NE 138th Ave
Portland, OR 97230-3409

Call (503) 261-7900 Map

Fax (503) 261-7567

Mailing address

5725 NE 138th Ave
Portland, OR 97230-3409

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	CON-0000008 (OR)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

124 other providers at this address

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NPI record

NPI: 1275988230
Entity type: Organization (Type 2)
Issued: Apr 27, 2016
Last updated: Jun 1, 2021
Status: Active

Other names

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Kaiser Permanente Clinical Pharmacy Services · doing business as
Kaiser Permanente Clinical Pharmacy Services · doing business as

Authorized official

Alfred E. Lyman, PharmD, BCPS
Exec. Director, Pharmacy Services
(503) 261-7980

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275988230

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1275988230, issued on Apr 27, 2016. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2021.