| Planned Parenthood Columbia Willamette | |
|
3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112 | |
| (503) 775-4931 | |
| (503) 788-7285 |
| Full Name | Planned Parenthood Columbia Willamette |
|---|---|
| Speciality | Clinic/center |
| Location | 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon |
| Authorized Official Name and Position | Stacy Cross (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5037754931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Columbia Willamette 3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112 Ph: (503) 775-4931 | Planned Parenthood Columbia Willamette 3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112 Ph: (503) 775-4931 |
| NPI Number | 1063687895 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063687895 | NPI | - | NPPES |
| 075374 | Medicaid | OR | |
| 1060114 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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