KAISER PERMANENTE EAST INTERSTATE PHARMACY
NPI 1013963131
Pharmacy - Managed Care Organization Pharmacy in Portland, OR

Q: What is Kaiser Foundation Health Plan Of The Northwest's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

Active since May 26, 2006

3550 N INTERSTATE AVE, PORTLAND, OR 97227(866) 279-6122(503) 249-3438 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Jul 19, 2018, Apr 19, 2018 and 3 more (6 updates tracked since 2016).

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About Kaiser Permanente East Interstate Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE EAST INTERSTATE PHARMACY (NPI 1013963131) is a healthcare organization registered as a managed care organization pharmacy in Portland, Oregon and active in the NPI registry since May 2006. The organization lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1013963131

Entity TypeOrganization

Primary Taxonomy3336M0003X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address3550 N INTERSTATE AVEPortland, OR 97227-1196

Mailing Address3550 N Interstate AvePortland, OR 97227-1196 · (866) 279-6122 · Fax (503) 249-3438

Phone(866) 279-6122

Fax(503) 249-3438

Organization SubpartNo

Authorized OfficialStephen Shawn BartonExecutive Director, Revenue Cycle · (800) 813-2000

Enumeration DateMay 26, 2006

Last NPPES UpdateJune 23, 20226 updates tracked since enumeration

NPPES CertifiedJune 23, 2022

✔ NPI 1013963131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers

Taxonomy Code3336M0003X

License✔ Licensed in OR · RP-0000717-CS

Definition

A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

3550 N INTERSTATE AVE, Portland, OR 97227

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Other Names 1

Doing Business AsKaiser Permanente East Interstate Pharmacy

Other Identifiers 3

Other2077391Pk

Medicaid6019418WA

Medicaid136650OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES PAUL BRYANT LCSW, CADC 3

Counselor

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 964-0000

ALISON D. ARMOUR PSYD

Psychologist (Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 813-2000

MS. JESSICA A DUDLEY FNP

Nurse Practitioner (Family)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 746-1575

DANAYA LEE HALL SWHNP

Nurse Practitioner

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (800) 813-2000

MS. JANET LEE MUCKRIDGE RD LD

Dietitian, Registered

3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227

Multnomah County (503) 286-6871

COURTNEY JOHNSON LCSW

Social Worker (Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (800) 813-2000

CHIA NENG VANG RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (866) 279-6122

MR. THEO B HARPER M.A., L.P.C.

Counselor (Mental Health)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 285-9321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Of The Northwest's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Northwest is 1013963131. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Kaiser Permanente East Interstate Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (866) 279-6122.

What is Kaiser Foundation Health Plan Of The Northwest's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

What insurance does Kaiser Foundation Health Plan Of The Northwest accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 23 other insurers list Kaiser Foundation Health Plan Of The Northwest as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of The Northwest was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.