Kaiser Permanente Beaverton Pharmacy

LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Beaverton Pharmacy is an health care organization with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, 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) 279-1751, or through Lyman, Alfred via phone (800) 813-2000.

Contact Information

Primary practice address
4855 Sw Western Ave Beaverton OR 97005-3460
Phone: (866) 279-1751
Fax: (503) 626-4419
Website:
Map and Directions
Authorized official contact:
Name: Lyman, Alfred PHARMD, BCPS
Phone: (800) 813-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X RP-0000136-CS Oregon
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1366497778
LBN Legal business name Kaiser Foundation Health Plan Of The Northwest
DBA Doing business as Kaiser Permanente Beaverton Pharmacy
Authorized official Lyman, Alfred PHARMD, BCPS
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 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 1366497778 NPPES
Washington MEDICAID 6019467
Washington Other 2077258
Washington MEDICAID 136791

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