OrganizationActive
Kaiser Foundation Health Plan of the Northwest
NPI 1790052629 · Health Maintenance Organization · Portland, OR
Provider details
- NPI number
- 1790052629
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Carolyn Luettgerodt, Manager, Pharmacy Service Operation(503) 261-7564
- License
- 6116 (OR)
Specialties & taxonomies
Managed Care Organizations
Practice location
5725 Ne 138th Ave
Portland, OR 97230-3409
Phone: (503) 261-7564
Approximate (ZIP-level) locationGet directions
Mailing address
5725 Ne 138th Ave
Portland, OR 97230-3409
Registry dates
- Enumerated
- 2011-11-21
- 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.