Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Clinic Pharmacy · Portland, OR

NPI number 1306883301 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Call (866) 280-2123 Map

Fax (503) 669-3991

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002XRP-0000972-CS (OR)
Managed Care Organization Pharmacy 3336M0003XNone listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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About NPI 1306883301

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1306883301, issued on May 31, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2021.