institution
Kaiser Foundation Health Plan Of The Northwest
Managed Care Organization Pharmacy in Portland, Oregon
NPI 1093142234

Kaiser Foundation Health Plan Of The Northwest is a Managed Care Organization Pharmacy based in Portland, OR and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of The Northwest practices in Portland, OR. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1093142234 and holds a License No. RP-0002839-CS (Oregon).

The current practice location address for Kaiser Foundation Health Plan Of The Northwest is 1700 Ne 102Nd Ave., Portland, OR and can be reached out via phone at 866-279-4581 and via fax at 971-229-6861.

Location: 1700 Ne 102Nd Ave., Portland, OR, 97230-3409
institution
Provider Profile Details
NPI Number
1093142234
Provider Name
Kaiser Foundation Health Plan Of The Northwest
Credential
Provider Entity Type
Organization
Address
1700 Ne 102Nd Ave., Portland, OR, 97230-3409
Phone Number
866-279-4581
Fax Number
971-229-6861
Provider Enumeration Date
10/02/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RP-0002839-CS 01 OR BOP LICENSE
500664821 05 OR
institution
Provider Business Practice Location Address Details
Address
1700 Ne 102Nd Ave.
City
State
Zip
97220
Phone Number
866-279-4581
Fax Number
971-229-6861
person
Provider Business Mailing Address Details
Address
1700 Ne 102Nd Ave.
City
State
Zip
97220
Phone Number
866-279-4581
Fax Number
971-229-6861
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
License No.
RP-0002839-CS (Oregon)
Definition
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.
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