Kaiser Foundation Health Plan Northwest, NPI 1528002474
Clinic Pharmacy in Clackamas, OR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1528002474
NPI Entity Type Organization
Provider Name Kaiser Foundation Health Plan Northwest
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 10180 Se Sunnyside Rd, Clackamas, OR, US
Provider Mailing Address 10180 Se Sunnyside Rd, Clackamas, OR, US, 970158970
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name R.PH. Jim Dunscomb
Official Position SUPERVISOR
Phone 503-571-2022

Primary Taxonomy

Taxonomy Code

3336C0002X

Taxonomy Name Clinic Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 00650
License State OR
Description A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Other Organization Name

Kaiser Sunnyside Outpatient Pharmacy
Other Name

Business Address

Kaiser Foundation Health Plan Northwest
10180 Se Sunnyside Rd

Clackamas, OR, US

Phone: 503-571-4222
Fax: 503-571-4166

Mailing Address

Kaiser Foundation Health Plan Northwest
10180 Se Sunnyside Rd
Clackamas, OR, US
ZIP 970158970
Phone: 503-571-4222
Fax: 503-571-4166

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336M0003X

Suppliers

Pharmacy

00650 OR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
136742 OR MEDICAID 05
6019343 WA MEDICAID 05
3811848 OR NCPDP 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
SOAP https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways Carequality HIE OTHER No 10180 SE Sunnyside Rd, Clackamas, OR, US

Other Providers in OR, US

NPI Name Taxonomy Address

1558919068

MS, RD, LD Lucy Ramquist

Individual

Registered Dietitian

2891 Se Division St Apt 2

Portland, OR

1831388461

DR. PSY.D Thaen Chiam Saelee

Individual

Clinical Psychologist

3806 Tillicum Ln

Roseburg, OR

1548823552

MR. MD Nathaniel Justin Kelly

Individual

Student in an Organized Health Care Education/Training Program

500 Sw Ramsey

Grants Pass, OR

1366735995

MR. RPH Emmanuel Chukwuemeka Amadi

Individual

Pharmacist

7440 N Denver Ave

Portland, OR

1235794629

Chelsea Walker

Individual

Behavioral Analyst

2800 Sw Peaceful Ln

Portland, OR

1942611603

Torrey A Thille

Individual

Clinical Social Worker

2306 Ne Glisan St Ste 200

Portland, OR

1528691110

Northern Pediatrics Llc

Organization

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1447663810

MD Anh Linh Hoang

Individual

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1568978971

BCBA, LBA Steven Hardy

Individual

Behavioral Analyst

1675 Sw Marlow Ave Ste 200

Portland, OR

1598822892

DR. PHD Mark R Mcminn

Individual

Clinical Psychologist

18703 Ne Williamson Rd

Newberg, OR

1740905017

Shelby Ramer

Individual

Doula

435 Nw 17th St

Mcminnville, OR

1295450567

Karyssa Ann Endecott

Individual

Case Manager/Care Coordinator

435 Ne Evans St Ste A

Mcminnville, OR

1699246520

FNP-BC Yvonne Renee Martenia

Individual

Family Nurse Practitioner

1819 Nebraska Ave

Grants Pass, OR

1942925318

DR. DMD Rachel Lynn Mendazona

Individual

Dentist

199 Sw Shevlin Hixon Dr Ste A

Bend, OR

1225753692

Nicolle Asencio

Individual

Student in an Organized Health Care Education/Training Program

19500 Se Stark St

Portland, OR

1275258642

Talia Elizabeth Miller

Individual

Mental Health Counselor

8915 Sw Center St

Portland, OR

1033616602

MD Sherilyn M Destefano

Individual

Family Medicine Physician

4411 Sw Vermont St

Portland, OR

1578288932

The Counseling Place Llc

Organization

Counselor

745 Cleveland St

Lebanon, OR

1942925300

PA-C Sara J Wright

Individual

Medical Physician Assistant

7033 Ne Sandy Blvd

Portland, OR

1467937276

LCSW Victoria Harris

Individual

Counselor

2650 Suzanne Way Ste 120

Eugene, OR

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