KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1568418051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568418051 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| Other Organization Name | KAISER DIVISION PHARMACY |
| Practice Address |
7705 Se Division St Portland OR 97206-1059 |
| Practice Telephone | 5037773311 |
| Practice Fax Number | 5037886007 |
| Mailing Telephone | 5037773311 |
| Mailing Fax Number | 5037886007 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | STEVE LOGAN (DIRECTOR, PHARMACY OPERATIONS) |
| Authorized Official Telephone | 5032617566 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
RP0000426 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3803930 | 01 | |
| OR | 136643 | 05 | |
| WA | 6019426 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER DIVISION 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 |
| 1962456194 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5725 Ne 138th Ave, Portland, OR 97230-3409 | 2006-05-20 |
| 1629699863 | Kaiser Foundation Health Plan of The Northwest | Dentist | 9300 Se 91st Ave Ste 310, Happy Valley, OR 97086-3762 | 2020-04-28 |
| 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 |
7705 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194979161 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 7705 Se Division St, Portland, OR 97206-1059 | 2008-11-04 |
| 1255598371 | Helene M Lien | Social Worker | 7705 Se Division St, Portland, OR 97206-1059 | 2008-05-16 |
| 1184793903 | Jon Nicole Davis | Physician Assistant | 7705 Se Division St, Portland, OR 97206-1059 | 2006-11-07 |
| 1437247343 | Margo Mcgehee-kelly | Internal Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-10-10 |
| 1801983903 | Marcia Anne Bechtold | Internal Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-10-09 |
| 1992806145 | James Robert Warner | Physician Assistant | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-26 |
| 1992802565 | Patricia T Franklin | Nurse Practitioner | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-17 |
| 1538265426 | Annette Diane Guido | Internal Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-16 |
| 1326142779 | Donna Jean Albrecht | Nurse Practitioner | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-07 |
| 1033211511 | Wui-leong Koh | Family Medicine | 7705 Se Division St, Portland, OR 97206-1059 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1134189186 | Martins Point Health Care Inc | Pharmacy | 901 Washington Ave, Portland, ME 04103-2737 | 2006-03-24 |
| 1295370377 | Oregon Adult Medicine PC | Pharmacy | 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 | 2019-11-12 |
| 1437624046 | Central City Concern | Pharmacy | 12121 E Burnside St, Portland, OR 97216-3737 | 2018-10-10 |
| 1154709426 | Oregon Health and Science University | Pharmacy | 3181 Sw Sam Jackson Park Rd, 4c, Portland, OR 97239-3011 | 2015-05-07 |
| Find all providers in PORTLAND | ||||
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| 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.