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KAISER PERMANENTE CASCADE PARK PHARMACY
NPI 1184670739
Pharmacy - Clinic Pharmacy in Vancouver, WA

Active since May 25, 2006CLIA 50D0668647 · Certificate of Compliance
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 896-4466(360) 896-4467 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 17, 2018 and 4 more (7 updates tracked since 2016).

About Kaiser Permanente Cascade Park Pharmacy NPPES

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

KAISER PERMANENTE CASCADE PARK PHARMACY (NPI 1184670739) is a healthcare organization registered as a clinic pharmacy in Vancouver, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1184670739
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-6055
Mailing Address5725 Ne 138th AvePortland, OR 97230-3409 · (503) 261-7980 · Fax (503) 261-7565
Phone(360) 896-4466
Fax(360) 896-4467
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 1, 20217 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1184670739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in WA · CF00003623
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684
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Other Names 1

Doing Business AsKaiser Permanente Cascade Park Pharmacy

Other Identifiers 3

Medicaid6019442WA
Other2108627Pk
Medicaid136627OR

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0668647

Kaiser Permanente Cascade Park · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0668647
Laboratory TypeHealth Main. Organization
Certificate Effective DateAugust 21, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorReva Ricketts-Loriaux
Laboratory Phone(503) 258-6831
Laboratory LocationKaiser Permanente Cascade Park12607 SE Mill Plain Blvd, Vancouver, WA 98684
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MISS MELISSA DAWN HILL
Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (800) 813-2000
ABERA GELETO ABU PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 449-1600
IMOGEN KANE
Student in an Organized Health Care Education/Training Program
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 418-6001
DR. MARVIN ARNOLD HELDE O.D.
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Clark County (360) 896-4456
TIMOTHY W WEST MA, LPC, CDP, CADC 3
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6275
BRODY TUCKER LCSW
Social Worker (Clinical)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 558-2456
DR. MICHELE LYNN SEQUEIRA MD
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6208
CATHERINE MYRA STROUSE M.D.
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (866) 420-2244

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 1184670739. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Kaiser Permanente Cascade Park Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 896-4466.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Kaiser Foundation Health Plan Of The Northwest hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0668647) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 24 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 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.