Kaiser Foundation Health Plan Of The Northwest in Portland - Pharmacy
Kaiser Foundation Health Plan Of The Northwest - NPI 1407803513
Kaiser Foundation Health Plan Of The Northwest is a Pharmacy in Portland, Oregon. Kaiser Foundation Health Plan Of The Northwest practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1407803513. The last update date is 2021-06-01.
Kaiser Foundation Health Plan Of The Northwest's current location address is 3600 N Interstate Ave, Portland, Oregon. You can contact this provider via phone number 5033316570 and fax number 5033316575. The mailing address for Kaiser Foundation Health Plan Of The Northwest is 3600 N Interstate Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Address | 3600 N Interstate Ave, Portland, Oregon |
| Phone Number | 5033316570 |
| Fax Number | 5033316575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lyman Alfred |
| Credentials | PHARMD, BC |
| Telephone Number | 8008132000 |
NPI Number Detail
| NPI Number | 1407803513 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2021-06-01 |
Provider Mailing Address Detail
| Address | 3600 N Interstate Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972271106 |
| Phone Number | 5033316570 |
| Fax Number | 5033316575 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHNR.FO.6065 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2078433 | PK | ||
| 6019434 | WA | -- | |
| 136635 | OR | -- |
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What is the unique 10-digit identifier code assigned to Kaiser Foundation Health Plan Of The Northwest by the Centers for Medicare & Medicaid Services?
The Kaiser Foundation Health Plan Of The Northwest has been issued the NPI (National Provider Identifier) 1407803513 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kaiser Foundation Health Plan Of The Northwest located?
The Kaiser Foundation Health Plan Of The Northwest is located at 3600 N Interstate Ave, Portland, OR 972271106.
What is Kaiser Foundation Health Plan Of The Northwest's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kaiser Foundation Health Plan Of The Northwest's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407803513 to Kaiser Foundation Health Plan Of The Northwest?
The Centers for Medicare & Medicaid Services originally issued the 1407803513 to Kaiser Foundation Health Plan Of The Northwest on 2006-05-27.
As of what date were the details related to Kaiser Foundation Health Plan Of The Northwest most recently updated or revised?
The information pertaining to Kaiser Foundation Health Plan Of The Northwest, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-01.