KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3500 N Interstate Ave
Portland, OR 97227
503-331-6186
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | WA | PHNR.FO.60572833 |
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0002X | Suppliers - Pharmacy | OR | RP-0001643-CS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
500622283 | OR | MEDICAID | |
PK | 2078923 | OTHER | |
6029821 | WA | MEDICAID |