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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1124462940


NPI Information

NPI: 1124462940
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Doing Business As: KAISER PERMANENTE WESTSIDE MEDICAL CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
2875 NW STUCKI AVE
HILLSBORO, OR
ZIP 97124
Phone: (866) 280-0511
Get Directions

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a clinic pharmacy pharmacy in Hillsboro, OR. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI is 1124462940. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Westside Medical Center Pharmacy.

The provider's business location address is:

2875 NW STUCKI AVE
HILLSBORO, OR
ZIP 97124-806
Phone: (866) 280-0511
Fax: (971) 310-3351

The provider's authorized official is Alfred E. Lyman .
The authorized official title is Exec. Director Pharmacy Services and has the following contact phone number (503) 261-7980.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 3/7/2023.


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
13336M0003XPharmacyManaged Care Organization Pharmacy0002771OREGONNo
23336C0002XPharmacyClinic Pharmacy0002241OREGONYes

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
13844708OTHERNCPDP
2RP-0002771-CSOTHEROREGONBOP LICENSE
32038157MEDICAIDWASHINGTON
450065832MEDICAIDOREGON

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.