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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