Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN LUETTGERODT RPH (MANAGER, PHARMACY SERVICE OPERATION)
(503) 261-7564
Entity
Organization
Contact information
Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7564
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6116
OR
Other
Enumeration date
11/21/2011
Last updated
06/01/2021
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