Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Other names
Kaiser Permanente Pharmacy Therapy Consulting Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LOGAN RPH (EXEC. DIRECTOR, PHARMACY SERVICES)
(503) 261-7566
Entity
Organization
Contact information
Practice address
5721 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7922
(503) 261-7567
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2166
(503) 261-2166
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CON-000000009
BOP LICENSE
OR
Enumeration date
10/09/2014
Last updated
06/01/2021
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