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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
13336M0002XMail Order Pharmacy
23336M0003XManaged Care Organization Pharmacy
3333600000XPharmacy

General Provider Information

NPI Number : 1891634325
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 : MAILSTOP: RCA-B1N-04
City : RENTON
State : WA
Zip : 98057-2617
Country : US
Telephone Number : 206-630-7979
Fax Number : 206-630-7950
Provider Business Practice Location Address
First Line : 2921 NACHES AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2617
Country : US
Telephone Number : 206-630-7979
Fax Number : 206-630-7950
Authorized Official
Title or Position : MANAGER
Name : MICHELLE M BARLOW
Credential :
Telephone Number : 509-241-7343
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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