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 1306883301

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

Practice location Address checks out

19500 SE Stark St
Portland, OR 97233-5757
Phone: (866) 280-2123
Fax: (503) 669-3991
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-0000972-CS (OR)
Managed Care Organization Pharmacy Taxonomy 3336M0003X

Record details

NPI number1306883301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfred Lyman — Executive Director, Regional Pharma · (800) 813-2000
Other names Kaiser Permanente Rockwood Pharmacy; Kaiser Permanente Rockwood Pharmacy
NPI enumeratedMay 31, 2006
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address19500 Se Stark St, Portland, OR 97233-5757

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