Kaiser Foundation Health Plan Of The Northwest in Portland - Managed Care Organization Pharmacy
Kaiser Foundation Health Plan Of The Northwest - NPI 1306883301
Kaiser Foundation Health Plan Of The Northwest is a Managed Care Organization Pharmacy in Portland, Oregon. Kaiser Foundation Health Plan Of The Northwest practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1306883301. The last update date is 2021-06-01.
Kaiser Foundation Health Plan Of The Northwest's current location address is 19500 Se Stark St, Portland, Oregon. You can contact this provider via phone number 8662802123 and fax number 5036693991. The mailing address for Kaiser Foundation Health Plan Of The Northwest is 19500 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Address | 19500 Se Stark St, Portland, Oregon |
| Phone Number | 8662802123 |
| Fax Number | 5036693991 |
| 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 | 1306883301 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2021-06-01 |
Provider Mailing Address Detail
| Address | 19500 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972335757 |
| Phone Number | 8662802123 |
| Fax Number | 5036693991 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
|
Definition: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136726 | OR | -- | |
| 6019327 | WA | -- | |
| 2078382 | PK |
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What is the unique identification 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) 1306883301. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kaiser Foundation Health Plan Of The Northwest located?
The Kaiser Foundation Health Plan Of The Northwest is located at 19500 Se Stark St, Portland, OR 972335757.
What is Kaiser Foundation Health Plan Of The Northwest's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kaiser Foundation Health Plan Of The Northwest's specialized field of practice is Managed Care Organization Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336M0003X.
On what date did Kaiser Foundation Health Plan Of The Northwest receive its 1306883301 assignment from the Centers for Medicare & Medicaid Services?
The Kaiser Foundation Health Plan Of The Northwest was assigned its 1306883301 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kaiser Foundation Health Plan Of The Northwest's details last updated?
The information pertaining to the Kaiser Foundation Health Plan Of The Northwest, including its address, specialty, and other details, was most recently updated on 2021-06-01.
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