Kaiser Foundation Health Plan Of The Northwest
Clinic Pharmacy
19500 Se Stark St, Portland
Oregon, 97233-5757
866-280-2123 503-669-3991
Kaiser Foundation Health Plan Of The Northwest is a Clinic Pharmacy in Portland, Oregon. It is located at 19500 Se Stark St, Portland and it's customer support contact number is 866-280-2123. The authorized person of Kaiser Foundation Health Plan Of The Northwest is Alfred Lyman, PHARMD, BCPS who is Executive Director, Regional Pharma of the pharmacy and his contact number is 800-813-2000. Active license number of Kaiser Foundation Health Plan Of The Northwest is RP-0000972-CS for Clinic Pharmacy in Oregon.
Kaiser Foundation Health Plan Of The Northwest is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Kaiser Foundation Health Plan Of The Northwest type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kaiser Foundation Health Plan Of The Northwest |
| Type: | Clinic Pharmacy |
| Location: | 19500 Se Stark St, Portland,
Oregon, 97233-5757 |
| Phone: | 866-280-2123 |
| Fax: | 503-669-3991 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Alfred Lyman |
| Credentials: | PHARMD, BCPS |
| Position: | Executive Director, Regional Pharma |
| Contact Number: | 800-813-2000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1306883301 |
| NPI Enumeration Date: | 31 May, 2006 |
| NPI Last Update On: | 01 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaiser Foundation Health Plan Of The Northwest are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | RP-0000972-CS | Oregon | Primary | |
| Managed Care Organization Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 136726 | Medicaid | Oregon | |
| 6019327 | Medicaid | Washington | |
| 2078382 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19500 Se Stark St,
Portland, Oregon |
| Zip: | 97233-5757 |
| Phone Number: | 866-280-2123 |
| Fax Number: | 503-669-3991 |
Patients can reach Kaiser Foundation Health Plan Of The Northwest at
19500 Se Stark St, Portland, Oregon or can
call on customer care at 866-280-2123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.