Kaiser Permanente East Interstate Pharmacy

LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente East Interstate Pharmacy is an health care organization with primary practice located at 3550 N Interstate Ave , Portland OR 97227-1196. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of The Northwest can be contacted via phone (866) 279-6122, or through Barton, Stephen Shawn via phone (800) 813-2000.

Contact Information

Primary practice address
3550 N Interstate Ave Portland OR 97227-1196
Phone: (866) 279-6122
Fax: (503) 249-3438
Website:
Map and Directions
Authorized official contact:
Name: Barton, Stephen Shawn
Phone: (800) 813-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Managed Care Organization Pharmacy 3336M0003X RP-0000717-CS Oregon

Profile Details

NPI number 1013963131
LBN Legal business name Kaiser Foundation Health Plan Of The Northwest
DBA Doing business as Kaiser Permanente East Interstate Pharmacy
Authorized official Barton, Stephen Shawn
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jun 23rd, 2022 - about 3 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 1013963131 NPPES
Oregon MEDICAID 136650
Oregon Other 2077391
Oregon MEDICAID 6019418

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