Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Clinic Pharmacy · Portland, OR

NPI number 1407803513 Active

Practice location

3600 N Interstate Ave
Portland, OR 97227-1106

Fax (503) 331-6575

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XPHNR.FO.60658960 (WA)
Clinic Pharmacy Primary 3336C0002XRP-0001284-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 1407803513

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1407803513, issued on May 27, 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.