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KAISER PERMANENTE TUALATIN PHARMACY
NPI 1699714063
Pharmacy - Clinic Pharmacy in Tualatin, OR

Active since June 04, 2006
19185 SW 90TH AVE, TUALATIN, OR 97062(866) 280-8818(503) 885-7333 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2021, Jul 19, 2018, Apr 18, 2018 and 4 more (7 updates tracked since 2016).

About Kaiser Permanente Tualatin Pharmacy NPPES

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

KAISER PERMANENTE TUALATIN PHARMACY (NPI 1699714063) is a healthcare organization registered as a clinic pharmacy in Tualatin, Oregon and active in the NPI registry since June 2006. The organization lists Alfred Lyman, Executive Director, Regional Pharma, as its authorized official.

NPPES Registry Identity

NPI1699714063
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address19185 SW 90TH AVETualatin, OR 97062-7558
Mailing Address19185 Sw 90th AveTualatin, OR 97062-7558 · (866) 280-8818 · Fax (503) 885-7333
Phone(866) 280-8818
Fax(503) 885-7333
Organization SubpartNo
Authorized OfficialAlfred LymanExecutive Director, Regional Pharma · (800) 813-2000
Enumeration DateJune 4, 2006
Last NPPES UpdateJune 1, 20217 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1699714063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in OR · RP-00001829-CS
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 ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
19185 SW 90TH AVE, Tualatin, OR 97062
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Other Names 1

Doing Business AsKaiser Permanente Tualatin Pharmacy

Other Identifiers 2

Other2079066Pk
Medicaid230431OR

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.

MRS. PAM K COCKRELL RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (866) 280-8818
NIKKI ALKIRE LCSW
Social Worker (Clinical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-5205
RYAN CATE PA
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 813-2000
MR. RON MICHELLE HUNT MASTER DEGREE
Counselor (Mental Health)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-5357
MS. MARY E. MORRISON PA-C
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-7300
LY TIEU-PYKA PT
Physical Therapist
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-5360
SARAH BREEZE CCC-SLP
Speech-Language Pathologist
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (800) 813-2000
MR. DONALD WILLIAM WISSUSIK M.A., M.S.
Counselor (Addiction (Substance Use Disorder))
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-7376

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 1699714063. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Kaiser Permanente Tualatin Pharmacy.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 19185 SW 90th Ave, Tualatin, OR 97062. The listed phone number is (866) 280-8818.

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.

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 with the weekly NPPES data releases published by CMS.