KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1366497778

NPI Information

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a clinic pharmacy pharmacy in Beaverton, 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 1366497778. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Beaverton Pharmacy.

The provider's business location address is:

4855 SW WESTERN AVE
BEAVERTON, OR
ZIP 97005-460
Phone: (866) 279-1751
Fax: (503) 626-4419

The provider's authorized official is Alfred Lyman .
The authorized official title is Executive Director, Regional Pharma and has the following contact phone number (800) 813-2000.

The CLIA number assigned to this NPI record is 38D2122862 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 6/1/2021.

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:

Other Identifiers

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

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