# KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser Permanente Clinical Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275988230
- **Authorized official:** ALFRED E. LYMAN JR. PHARMD, BCPS (EXEC. DIRECTOR, PHARMACY SERVICES)
- **Authorized official phone:** (503) 261-7980

## Contact information

- **Practice address:** 5717 NE 138TH AVE, PORTLAND, OR 97230-3409
- **Practice address phone:** (503) 261-7900
- **Practice address fax:** (503) 261-7567
- **Mailing address:** 5725 NE 138TH AVE, PORTLAND, OR 97230-3409
- **Mailing address phone:** (503) 261-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | CON-0000008 | OR | Yes |

## Other

- **Enumeration date:** 04/27/2016
- **Last updated:** 06/01/2021