1831568070 NPI number — PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE

Table of content: (NPI 1831568070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831568070 NPI number — PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PLANNED PARENTHOOD COLUMBIA WILLAMETTE - BEAVERTON HEALTH CENTER
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831568070
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3727 NE MARTIN LUTHER KING JR BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97212-1112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-775-4931
Provider Business Mailing Address Fax Number:
503-788-7285

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12220 SW 1ST ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
BEAVERTON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97005-2889
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-775-4931
Provider Business Practice Location Address Fax Number:
503-788-7285
Provider Enumeration Date:
09/17/2015

Additional Information

Authorized Official

Authorized Official Last Name:
CROSS
Authorized Official First Name:
STACY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
503-775-4931

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com