Kaiser Foundation Health Plan Of The Northwest in Portland - Compounding Pharmacy
Kaiser Foundation Health Plan Of The Northwest - NPI 1730108168
Kaiser Foundation Health Plan Of The Northwest is a Compounding Pharmacy in Portland, Oregon. Kaiser Foundation Health Plan Of The Northwest practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1730108168. The last update date is 2021-06-01.
Kaiser Foundation Health Plan Of The Northwest's current location address is 3500 N Interstate Ave, Portland, Oregon. You can contact this provider via phone number 5033316186 and fax number 5033316187. The mailing address for Kaiser Foundation Health Plan Of The Northwest is 3500 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 | 3500 N Interstate Ave, Portland, Oregon |
| Phone Number | 5033316186 |
| Fax Number | 5033316187 |
| 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 | 1730108168 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2021-06-01 |
Provider Mailing Address Detail
| Address | 3500 N Interstate Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972271196 |
| Phone Number | 5033316186 |
| Fax Number | 5033316187 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500622283 | OR | -- | |
| 6029821 | WA | -- | |
| 2078923 | 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) 1730108168. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kaiser Foundation Health Plan Of The Northwest's physical address?
The Kaiser Foundation Health Plan Of The Northwest is physically located at 3500 N Interstate Ave, in the city of Portland, OR, with the postal code 972271196.
What is Kaiser Foundation Health Plan Of The Northwest's area of expertise and its corresponding taxonomy classification?
The Kaiser Foundation Health Plan Of The Northwest's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
When did the Kaiser Foundation Health Plan Of The Northwest receive its 1730108168?
The Kaiser Foundation Health Plan Of The Northwest was issued its 1730108168 on 2006-07-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kaiser Foundation Health Plan Of The Northwest, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kaiser Foundation Health Plan Of The Northwest, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-01.
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