KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST NPI 1366497778

NPI Information

  • NPI: 1366497778
  • Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: KAISER PERMANENTE BEAVERTON PHARMACY
  • Address: 4855 SW WESTERN AVE
    BEAVERTON, OR
    ZIP 97005
  • Phone: (866) 279-1751

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NPI Details

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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyRP-0000136-CSOREGONYes
33336M0003XPharmacyManaged Care Organization PharmacyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12077258OTHERPK
2136791MEDICAIDOREGON
36019467MEDICAIDWASHINGTON

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: 3/30/2025

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