OrganizationActive
Kaiser Foundation Health Plan of the Northwest
NPI 1306893417 · Clinic Pharmacy · Longview, WA
Provider details
- NPI number
- 1306893417
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alfred Lyman, Executive Director, Regional Pharma(800) 813-2000
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
Suppliers
Practice location
1230 7th Ave
Longview, WA 98632-3166
Phone: (360) 636-6226
Fax: (360) 636-6249
Approximate (ZIP-level) locationGet directions
Mailing address
5725 Ne 138th Ave
Portland, OR 97230-3409
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Longview Kelso Pharmacy
- Doing business as
- Kaiser Permanente Longview Kelso Pharmacy
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.