Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Other names
Kaiser Permanente Mail Order Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY T MCCULLER (REVENUE CYCLE)
(503) 714-3035
Entity
Organization
Contact information
Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(800) 548-9809
(503) 778-7542
Mailing address
500 NE MULTNOMAH ST., ATTENTION: PHARMACY ADMINISTRATION, PORTLAND, OR 97232-2031
(800) 548-9809
(877) 516-9062
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
PHNR.FO.00057907
WA
3336M0002X
Mail Order Pharmacy
Primary
RP-0001484-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137203
—
OR
01
—
2078503
PK
—
05
—
6019475
—
WA
Enumeration date
05/20/2006
Last updated
03/06/2026
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