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KAISER PERMANENTE SALMON CREEK PHARMACY
NPI 1386682946
Pharmacy - Clinic Pharmacy in Vancouver, WA

Active since June 03, 2006CLIA 50D0920932 · Microscopy
14406 NE 20TH AVE, VANCOUVER, WA 98686(360) 571-3072(360) 571-3095 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 17, 2018 and 3 more (6 updates tracked since 2016).

About Kaiser Permanente Salmon Creek Pharmacy NPPES

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

KAISER PERMANENTE SALMON CREEK PHARMACY (NPI 1386682946) is a healthcare organization registered as a clinic pharmacy in Vancouver, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1386682946
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address14406 NE 20TH AVEVancouver, WA 98686-1448
Mailing Address5725 Ne 138th AvePortland, OR 97230-3409 · (503) 261-7980 · Fax (503) 261-7567
Phone(360) 571-3072
Fax(360) 571-3095
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 1, 20216 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1386682946 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 · 00005461
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
14406 NE 20TH AVE, Vancouver, WA 98686
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Other Names 1

Doing Business AsKaiser Permanente Salmon Creek Pharmacy

Other Identifiers 3

Medicaid6019525WA
Medicaid138144OR
Other2110346Pk

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0920932

Kaiser Permanente Salmon Creek · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0920932
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 1, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorReva Ricketts-Loriaux
Laboratory Phone(360) 571-3061
Laboratory LocationKaiser Permanente Salmon Creek14406 NE 20th Ave, Vancouver, WA 98686
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

CRAIG STEPHEN HERSH M.D.
Dermatology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 418-6001
DR. SUSAN MARIE KARAGIANES DMD
Dentist (General Practice)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 571-3138
DR. MARIANNE DALY DMD
Dentist (General Practice)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 571-3138
DR. CAROL CHIU MD
Obstetrics & Gynecology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (800) 813-2000
MS. DONNA CAROLE WILSON RDH
Dental Hygienist
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 571-3139
SHAANTI FOERSTER ABBRUZZESE CNM
Advanced Practice Midwife
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (800) 813-2000
DR. ADAM F BRAGANZA MD
Ophthalmology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (360) 418-6001
GENE R CONLEY JR. MD
Internal Medicine
14406 NE 20TH AVE
VANCOUVER, WA 98686
Clark County (800) 813-2000

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 1386682946. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Kaiser Permanente Salmon Creek Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 14406 NE 20th Ave, Vancouver, WA 98686. The listed phone number is (360) 571-3072.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 50D0920932) 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 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 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.