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Export Provider Record NPI 1013963131
Kaiser Foundation Health Plan Of The Northwest
Organization Subpart: NO
Active
NPI Number1013963131
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Managed Care Organization Pharmacy
Provider Details
NPI1013963131
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-26
Last Updated2022-06-23
Authorized OfficialStephen Barton
Executive Director, Revenue Cycle
Phone: 8008132000
Mailing Address3550 N Interstate Ave
Portland, OR 97227-1196
United States
Phone: (866) 279-6122 | Fax: (503) 249-3438
📍 View Map
Primary Practice Address3550 N Interstate Ave
Portland, OR 97227-1196
United States
Phone: (866) 279-6122 | Fax: (503) 249-3438
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOR136650
Other (non-Medicare)2077391PK
MEDICAIDWA6019418
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0002X – Pharmacy, Clinic Pharmacy
Yes3336M0003X – Pharmacy, Managed Care Organization PharmacyORRP-0000717-CS
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About NPI 1013963131

Kaiser Foundation Health Plan Of The Northwest is an organization registered in the CMS NPPES NPI Registry with NPI number 1013963131. The primary specialty listed is Pharmacy, Managed Care Organization Pharmacy. The organization is located in Portland, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013963131?

NPI 1013963131 belongs to Kaiser Foundation Health Plan Of The Northwest, a Pharmacy, Managed Care Organization Pharmacy in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013963131 active?

The current status of NPI 1013963131 in the NPPES registry is Active. The record was last updated on 2022-06-23.

What specialty is NPI 1013963131?

NPI 1013963131 is classified under the taxonomy Pharmacy, Managed Care Organization Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013963131?

You can verify NPI 1013963131 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013963131?

The primary practice address on file for NPI 1013963131 is 3550 N Interstate Ave, Portland, OR 97227-1196. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013963131 issued?

NPI 1013963131 was first issued (enumerated) on 2006-05-26. The NPPES record was last updated on 2022-06-23.

Practice Location Map

Kaiser Foundation Health Plan Of The Northwest is located at 3550 N Interstate Ave, Portland, OR. Use the map below to find directions or verify the practice location.

📍 3550 N Interstate Ave, Portland, OR 97227-1196  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kaiser Foundation Health Plan Of The Northwest. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013963131. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Managed Care Organization PharmacyRP-0000717-CSOR
Data Verified from CMS NPPES Last synced: 2026-06-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162