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Export Provider Record NPI 1093142234
Kaiser Foundation Health Plan Of The Northwest
Organization Subpart: NO
Active
NPI Number1093142234
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Clinic Pharmacy
Provider Details
NPI1093142234
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2013-10-02
Last Updated2021-06-01
Authorized OfficialSteve Logan
Exec. Director, Pharmacy Services
Phone: 5032617566
Mailing Address5725 Ne 138th Ave.
Portland, OR 97230-3409
United States
Phone: (503) 261-2166 | Fax: (503) 261-2166
📍 View Map
Primary Practice Address1700 Ne 102nd Ave.
Portland, OR 97220
United States
Phone: (866) 279-4581 | Fax: (971) 229-6861
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOR500664821
Other (non-Medicare)ORRP-0002839-CSBOP License
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336M0003X – Pharmacy, Managed Care Organization Pharmacy
Yes3336C0002X – Pharmacy, Clinic PharmacyORRP-0002839-CS
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About NPI 1093142234

Kaiser Foundation Health Plan Of The Northwest is an organization registered in the CMS NPPES NPI Registry with NPI number 1093142234. The primary specialty listed is Pharmacy, Clinic 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 2013-10-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093142234?

NPI 1093142234 belongs to Kaiser Foundation Health Plan Of The Northwest, a Pharmacy, Clinic Pharmacy in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093142234 active?

The current status of NPI 1093142234 in the NPPES registry is Active. The record was last updated on 2021-06-01.

What specialty is NPI 1093142234?

NPI 1093142234 is classified under the taxonomy Pharmacy, Clinic 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 1093142234?

You can verify NPI 1093142234 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 1093142234?

The primary practice address on file for NPI 1093142234 is 1700 Ne 102nd Ave., Portland, OR 97220. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093142234 issued?

NPI 1093142234 was first issued (enumerated) on 2013-10-02. The NPPES record was last updated on 2021-06-01.

Practice Location Map

Kaiser Foundation Health Plan Of The Northwest is located at 1700 Ne 102nd Ave., Portland, OR. Use the map below to find directions or verify the practice location.

📍 1700 Ne 102nd Ave., Portland, OR 97220  ·  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 1093142234. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Clinic PharmacyRP-0002839-CSOR
Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162