NPIMap

Organization Active NPI

Planned Parenthood of the Columbia/Willamette, Inc.

Doing business as Planned Parenthood Columbia Willamette

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1063687895
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.
Doing business as
Planned Parenthood Columbia Willamette
Practice address
3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112
Phone
(503) 775-4931
Fax
(503) 788-7285
NPI assigned
Apr 23, 2008
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Ms. Stacy Cross
Title
Cheif Executive Officer
Phone
(503) 775-4931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3727 NE Martin Luther King Jr Blvd
Portland, OR 97212-1112

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
075374MedicaidOR
1060114MedicaidWA

Other names 1

  • Planned Parenthood Columbia Willamette Doing business as

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.

Locations

3727 NE Mlk Jr Blvd
Portland, OR 97212
Phone (503) 788-7273

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1063687895",
    "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": "3727 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121112",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.",
        "enumeration_date": "2008-04-23",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-775-4931",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075374",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060114",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Columbia Willamette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.