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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Medical Equipment Supplier Yellow Pages

Clackamas, Oregon

Provider NPI: 1407893407

Organization Information:
Organization Name:  KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST


Practice Location:
10100 SE SUNNYSIDE RD  CLACKAMAS, OR 97015 US
Tel: 866-280-1228  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336M0003XSuppliers
Pharmacy
Managed Care Organization Pharmacy
Y3336C0002XSuppliers
Pharmacy
ORRP-0001088-CS

Other Provider Identifiers:

IssuerNumberStateType
136692OR05
PK207843401
6019368WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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