KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1124462940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124462940 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | KAISER PERMANENTE WESTSIDE MEDICAL CENTER PHARMACY |
| Practice Address |
2875 Nw Stucki Ave Hillsboro OR 97124-5806 |
| Mailing Address |
5725 Ne 138th Ave Portland OR 97230-3409 |
| Practice Telephone | 8662800511 |
| Practice Fax Number | 9713103351 |
| Mailing Telephone | 8662800511 |
| Mailing Fax Number | 9713103351 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | ALFRED E. LYMAN JR. (EXEC. DIRECTOR PHARMACY SERVICES) |
| Authorized Official Telephone | 5032617980 |
| Authorized Official Credential | PHARMD., BCPS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
0002771 | OR | Suppliers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
0002241 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038157 | 05 | |
| OR | 50065832 | 05 | |
| NCPDP | 3844708 | 01 | |
| OR | DEA | FK3798456 | 01 |
| OR | BOP LICENSE | RP-0002771-CS | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Westside Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1992242093 | Kaiser Foundation Health Plan of The Northwest | Dentist | 12450 Sw Walker Rd, Beaverton, OR 97005-1401 | 2017-01-26 |
| 1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1093142234 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1700 Ne 102nd Ave., Portland, OR 97220 | 2013-10-02 |
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1215976014 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2006-06-06 |
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
| 1962456194 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
2875 NW STUCKI AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598711236 | Mai Pham | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2006-05-25 |
| 1619452109 | Leah S Thomas | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124 | 2018-10-01 |
| 1104320266 | Reese Eleanor Lovegren | Case Manager/Care Coordinator | 2875 Nw Stucki Ave, Hillsboro, OR 97124 | 2018-03-22 |
| 1508382391 | Linda Miksovska | Student in an Organized Health Care Education/Training Program | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2017-08-14 |
| 1003351297 | Prudencia Flores Sabado-babal | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-12-27 |
| 1912440686 | Sarah Glasser | Dietitian, Registered | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-11-29 |
| 1780136978 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-11-04 |
| 1063961159 | Jessica Eggers | Occupational Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-29 |
| 1689122616 | Robin Mcdole | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-20 |
| 1831647189 | June Bliss | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922141415 | Oregon Health and Science University | Pharmacy | 515 Sw Campus Drive, Portland, OR 97239-3098 | 2007-02-14 |
| 1225190408 | Credena Health LLC | Pharmacy | 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 | 2006-12-14 |
| 1578630463 | Good Shepherd Health Care Systems | Pharmacy | 600 Nw 11th St Ste E04, Hermiston, OR 97838-8602 | 2006-11-29 |
| 1275548059 | Multnomah County Oregon | Pharmacy | 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 | 2006-07-30 |
| 1528073327 | Multnomah County Oregon | Pharmacy | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2006-07-30 |
| 1205841004 | Multnomah County | Pharmacy | 9000 N Lombard St Fl 2, Portland, OR 97203-3006 | 2006-07-30 |
| 1528073319 | Multnomah County | Pharmacy | 5329 Ne Martin L King Fl Jrblvd2, Portland, OR 97211-3237 | 2006-07-30 |
| 1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
| 1063040186 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 360 S Garden Way Ste 120, Eugene, OR 97401-8173 | 2020-04-01 |
| 1295370377 | Oregon Adult Medicine PC | Pharmacy | 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.