Kaiser Permanente Gateway Pharmacy
LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Gateway Pharmacy is an health care organization with primary practice located at 1700 Ne 102Nd Ave. , Portland OR 97220. 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 Of The Northwest can be contacted via phone (866) 279-4581, or through Logan, Steve via phone (503) 261-7566.
Contact Information
Primary practice address
1700 Ne 102Nd Ave.
Portland OR 97220
Phone: (866) 279-4581
Fax: (971) 229-6861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | RP-0002839-CS | Oregon |
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1093142234 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of The Northwest |
| DBA Doing business as | Kaiser Permanente Gateway Pharmacy |
| Authorized official | Logan, Steve RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2013 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093142234 | NPPES |
| Oregon | Other | RP-0002839-CS | BOP LICENSE |
| Oregon | MEDICAID | 500664821 | BOP LICENSE |
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