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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1013963131


NPI Information

NPI: 1013963131
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: KAISER PERMANENTE EAST INTERSTATE PHARMACY

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (866) 279-6122
Get Directions

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a managed care organization pharmacy pharmacy in Portland, OR. The provider is 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. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1013963131. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente East Interstate Pharmacy.

The provider's business location address is:

3550 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-196
Phone: (866) 279-6122
Fax: (503) 249-3438

The provider's authorized official is Stephen Shawn Barton .
The authorized official title is Executive Director, Revenue Cycle and has the following contact phone number (800) 813-2000.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 6/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336M0003XPharmacyManaged Care Organization PharmacyRP-0000717-CSOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12077391OTHERPK
26019418MEDICAIDWASHINGTON
3136650MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.