Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Permanente Westside Inpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED E. LYMAN JR. PHARMD., BCPS (EXEC. DIRECTOR PHARMACY SERVICES)
(503) 261-7566
Entity
Organization
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-4050
(971) 310-4061
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(971) 310-4050
(971) 310-4061
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-0002783-CS
BOP LICENSE
OR
Enumeration date
04/24/2013
Last updated
03/07/2023
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