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 Pharmacy · NPI 1730108168

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

Licensed in
OR, WA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

3500 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 331-6186
Fax: (503) 331-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence RP-0001643-CS (OR)
Pharmacy Taxonomy 333600000X · Licence PHNR.FO.60572833 (WA)
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1730108168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfred Lyman — Executive Director, Regional Pharma · (800) 813-2000
Other names Kaiser Permanente Interstate South Pharmacy; Kaiser Permanente Interstate South Pharmacy
NPI enumeratedJuly 18, 2006
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address5725 Ne 138th Ave, Portland, OR 97230-3409

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