Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Clinic Pharmacy · Tualatin, OR

NPI number 1699714063 Active

Practice location

19185 SW 90th Ave
Tualatin, OR 97062-7558

Fax (503) 885-7333

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002XRP-00001829-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 1699714063

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1699714063, issued on Jun 4, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Tualatin, OR. The record was last updated on Jun 1, 2021.