# PREGNANCY CARE CENTER OF GRANTS PASS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREGNANCY CARE CENTER OF GRANTS PASS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013339878
- **Legal business name:** PREGNANCY CARE CENTER OF GRANTS PASS
- **Authorized official:** ROBIN DVELL FULLER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (541) 479-6264

## Contact information

- **Practice address:** 714 S.E. 8TH ST, GRANTS PASS, OR 97526
- **Practice address phone:** (541) 479-6264
- **Practice address fax:** (541) 474-2112
- **Mailing address:** 714 S.E. 8TH ST, GRANTS PASS, OR 97526
- **Mailing address phone:** (541) 479-6264
- **Mailing address fax:** (541) 474-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD17096 | OR | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 01/14/2014