Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaiser Foundation Health Plan of the Northwest

Organization Clinic Pharmacy · NPI 1013963131

Kaiser Foundation Health Plan of the Northwest is a Clinic Pharmacy in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (866) 279-6122
Fax: (503) 249-3438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X · Licence RP-0000717-CS (OR)
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1013963131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Barton — Executive Director, Revenue Cycle · (800) 813-2000
Other names Kaiser Permanente East Interstate Pharmacy; Kaiser Permanente East Interstate Pharmacy
NPI enumeratedMay 26, 2006
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address3550 N Interstate Ave, Portland, OR 97227-1196

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