Organization Active NPI

Planned Parenthood of the Columbia/Willamette

  • Non-Pharmacy Dispensing Site
  • Salem, OR
National Provider Identifier
1053781872
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE
Practice address
3825 Wolverine St NE
Salem, OR 97305-1201
Phone
(503) 775-4931
Fax
(503) 788-7285
NPI assigned
Oct 6, 2015
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacy Cross
Title
President & Ceo
Phone
(503) 775-4931

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3825 Wolverine St NE
Salem, OR 97305-1201

Mailing address

3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Phone (503) 775-4931

Other names 1

  • Planned Parenthood Columbia Willamette - Salem Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of T10 organizations share this tax ID, including this one
Part of
Planned Parenthood of T

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1053781872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121112",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 WOLVERINE ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051201",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "503-775-4931"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Columbia Willamette - Salem Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.