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

Kaiser Foundation Health Plan of the Northwest

Organization Clinic Pharmacy · NPI 1093142234

Kaiser Foundation Health Plan of the Northwest is a Clinic Pharmacy in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1700 NE 102nd Ave
Portland, OR 97220
Phone: (866) 279-4581
Fax: (971) 229-6861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence RP-0002839-CS (OR)
Managed Care Organization Pharmacy Taxonomy 3336M0003X

Record details

NPI number1093142234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve Logan — Exec. Director, Pharmacy Services · (503) 261-7566
Other names Kaiser Permanente Gateway Pharmacy; Kaiser Permanente Gateway Pharmacy
NPI enumeratedOctober 2, 2013
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address5725 Ne 138th Ave., Portland, OR 97230-3409

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