Kaiser Sunnyside Outpatient Pharmacy

LBN: Kaiser Foundation Health Plan Northwest
Kaiser Sunnyside Outpatient Pharmacy is an health care organization with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Northwest can be contacted via phone (503) 571-4222, or through Dunscomb, Jim via phone (503) 571-2022.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 571-4222
Fax: (503) 571-4166
Website:
Map and Directions
Authorized official contact:
Name: Dunscomb, Jim R.PH.
Phone: (503) 571-2022

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 00650 Oregon
Suppliers / Managed Care Organization Pharmacy 3336M0003X 00650 Oregon

Profile Details

NPI number 1528002474
LBN Legal business name Kaiser Foundation Health Plan Northwest
DBA Doing business as Kaiser Sunnyside Outpatient Pharmacy
Authorized official Dunscomb, Jim R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 1st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528002474 NPPES
Oregon MEDICAID 136742
Oregon MEDICAID 6019343
Oregon Other 3811848

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