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Kaiser Foundation Health Plan Of The Northwest
Compounding Pharmacy in Portland, Oregon
NPI 1730108168

Kaiser Foundation Health Plan Of The Northwest is a Compounding Pharmacy based in Portland, OR and is specialized in Compounding Pharmacy. Kaiser Foundation Health Plan Of The Northwest practices in Portland, OR. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1730108168 and holds a License No. PHNR.FO.60572833 (Oregon).

The current practice location address for Kaiser Foundation Health Plan Of The Northwest is 3500 N Interstate Ave, Portland, OR and can be reached out via phone at 503-331-6186 and via fax at 503-331-6187.

Location: 3500 N Interstate Ave, Portland, OR, 97230-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730108168
Provider Name
Kaiser Foundation Health Plan Of The Northwest
Credential
Provider Entity Type
Organization
Address
3500 N Interstate Ave, Portland, OR, 97230-3409
Phone Number
503-331-6186
Fax Number
503-331-6187
Provider Enumeration Date
07/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500622283 05 OR
6029821 05 WA
2078923 01 PK
institution
Provider Business Practice Location Address Details
Address
3500 N Interstate Ave
City
Portland
State
Oregon
Zip
97227-1196
Phone Number
503-331-6186
Fax Number
503-331-6187
person
Provider Business Mailing Address Details
Address
3500 N Interstate Ave
City
Portland
State
Oregon
Zip
97227-1196
Phone Number
503-331-6186
Fax Number
503-331-6187
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
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Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
RP-0001643-CS (Oregon)
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHNR.FO.60572833 (Washington)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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