Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Clinic Pharmacy · Vancouver, WA

NPI number 1992742894 Active

Practice location

2211 E Mill Plain Blvd
Vancouver, WA 98661-4329

Call (360) 699-6068 Map

Mailing address

5725 NE 138th Ave
Portland, OR 97230-3409

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	00001845 (WA)
Managed Care Organization Pharmacy	3336M0003X	None 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.

26 other providers at this address

Other clinic pharmacy providers in Vancouver

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NPI record

NPI: 1992742894
Entity type: Organization (Type 2)
Issued: May 31, 2006
Last updated: Jun 1, 2021
Status: Active

Other names

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Kaiser Vancouver Pharmacy · doing business as
Kaiser Vancouver Pharmacy · doing business as

Authorized official

Steve Logan, R.PH.
Director, Pharmacy Operations
(503) 261-7566

Verify this record

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 1992742894

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1992742894, issued on May 31, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Vancouver, WA. The record was last updated on Jun 1, 2021.