KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST


Address: 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777
Phone: 8665250581

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (NPI# 1467511832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467511832
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name KAISER PERMANENTE SUNNYBROOK PHARMACY
Practice Address 9900 Se Sunnyside Rd
Clackamas
OR 97015-9777
Practice Telephone 8665250581
Practice Fax Number 5035717905
Mailing Telephone 8665250581
Mailing Fax Number 5035717905
Enumeration Date 2006-12-08
Last Update Date 2018-07-19
Authorized Official Name ALFRED LYMAN (EXECUTIVE DIRECTOR, REGIONAL PHARMA)
Authorized Official Telephone 8008132000
Authorized Official Credential PHARMD, BCPS
Is Organization Subpart N

Taxonomy

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
RP0002362 OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2079538 01

Other Provider/Organization Names

Other Name Type Code
KAISER PERMANENTE SUNNYBROOK PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

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
1568418051 Kaiser Foundation Health Plan of The Northwest Pharmacy 7705 Se Division St, Portland, OR 97206-1059 2006-05-26
1962456194 Kaiser Foundation Health Plan of The Northwest Pharmacy 5725 Ne 138th Ave, Portland, OR 97230-3409 2006-05-20

Other Data Sources

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

Office Location

Street Address 9900 SE SUNNYSIDE RD
City CLACKAMAS
State OR
Zip Code 97015-9777

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982675690 Tony S Clinton Dermatology 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777 2006-01-30
1700395811 Jeffrey Ha Nguyen Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2017-09-21
1255850434 Taylor Martin Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2017-09-19
1386189595 Darin Ferry Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2016-12-23
1720530058 Kaiser Foundation Health Plan of The Northwest General Practice 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2016-11-03
1912458944 Kimberly Brownell Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2016-10-14
1487104956 Sze Wing Ngan Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2016-10-10
1740738327 Frederick R Engelmann Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2016-09-13
1215483680 Clifford Stephens Pharmacist 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 2016-08-26
1235594896 Celeste Richardson Physician Assistant 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777 2015-12-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
Find all providers in zip 97015

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427346543 Kaiser Foundation Health Plan of The Northwest Pharmacy 5381 E Main St, Hillsboro, OR 97123-6447 2011-07-11
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
1578630463 Good Shepherd Health Care Systems Pharmacy 600 Nw 11th St Ste E04, Hermiston, OR 97838-8602 2006-11-29
1275548059 Multnomah County Oregon Pharmacy 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 2006-07-30
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
1063040186 Kaiser Foundation Health Plan of The Northwest Pharmacy 360 S Garden Way Ste 120, Eugene, OR 97401-8173 2020-04-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City CLACKAMAS
Zip Code 97015

Improve Information

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Dataset Information

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.

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