Organization Name: | KAISER PERMANENTE |
NPI Number: | 1548596539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYLER MATTHEW TREHARNE (PHARMACIST) |
Mailing Address: | 5717 Ne 138th Ave Portland |
State: | OR US |
Postal Code: | 972303409 |
Phone Number: | 5032617900 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2009 |
NPI Last Update Date: | 10/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | RPH-0011874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |