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NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic PharmacyCF00005120WA
2333600000XPharmacyCF00005120WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14924913OTHERWANCPDP

General Provider Information

NPI Number : 1447384425
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Provider Business Mailing Address
First Line : 2921 NACHES AVE SW
Second Line : RCA-B1N-04
City : RENTON
State : WA
Zip : 98057
Country : US
Telephone Number : 206-630-2222
Fax Number :
Provider Business Practice Location Address
First Line : 1007 39TH AVE SE
Second Line :
City : PUYALLUP
State : WA
Zip : 98374-2192
Country : US
Telephone Number : 253-435-3150
Fax Number : 253-435-3151
Authorized Official
Title or Position : PROGRAM MGR, RX REGULATORY
Name : GAIL ANN ELLIOTT
Credential :
Telephone Number : 206-630-2222
Provider Enumeration Date : 03/14/2007
Last Update Date : 01/29/2025

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Directions to “KAISER FOUNDATION HEALTH PLAN OF WASHINGTON ” Practice Location

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