Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Other names
KAISER DIVISION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LOGAN R.PH. (DIRECTOR, PHARMACY OPERATIONS)
(503) 261-7566
Entity
Organization
Contact information
Practice address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
(503) 777-3311
(503) 788-6007
Mailing address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
(503) 777-3311
(503) 788-6007
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
RP0000426
OR
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136643
—
OR
01
—
3803930
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6019426
—
WA
Enumeration date
05/26/2006
Last updated
06/01/2021
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