Organization Active NPI

Planned Parenthood of Southwestern Oregon

  • Non-Surgical Family Planning Clinic/Center
  • Florence, OR
National Provider Identifier
1245360361
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
MD12242 Issued in OR
Legal business name
PLANNED PARENTHOOD OF SOUTHWESTERN OREGON
Practice address
4969 Highway 101
Florence, OR 97439-7803
Phone
(541) 344-2632
Fax
(541) 344-6519
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Ms. Kelly Hall
Title
Director of Patient Services
Phone
(541) 344-2632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD21490 OR
Non-Surgical Family Planning Clinic/Center 261QF0050X MD12242 OR Primary

Addresses

Primary practice location

4969 Highway 101
Florence, OR 97439-7803

Mailing address

3579 Franklin Blvd
Eugene, OR 97403-2356
Phone (541) 344-2632

Other identifiers 1

IdentifierTypeStateIssuer
320332MedicaidOR

Other names 1

  • Planned Parenthood Health Services of Southwestern Oregon Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Southwestern Oregon19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

4969 Highway 101
Florence, OR 97439
Phone (541) 344-2632

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1245360361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 FRANKLIN BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032356",
            "telephone_number": "541-344-2632",
            "fax_number": "541-344-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 HIGHWAY 101",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397803",
            "telephone_number": "541-344-2632",
            "fax_number": "541-344-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF SOUTHWESTERN OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT SERVICES",
        "authorized_official_telephone_number": "541-344-2632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21490",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "OR",
            "license": "MD12242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320332",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Health Services of Southwestern Oregon",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Planned Parenthood Health Services of Southwestern Oregon",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.