NPI 1780134692

Kfkp of the Northwest

Organisation Health Maintenance Organization Vancouver, WA

Practice location

Address: 2611 SE 130th Ave, Vancouver, WA 98683-6583
Phone: (360) 907-9099
Fax: (360) 882-3888
Mailing address: 12607 SE Mill Plain Blvd, Vancouver, WA 98684-6055

Authorised official

Name: Abera Geleto Abu
Title: Pharmacist
Phone: (360) 907-9099

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1780134692
Entity type: Organization
NPI issued: 4 Oct 2016
Record last updated: 1 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.