Organization
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.
Active
Other names
Planned Parenthood Columbia Willamette
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY CROSS (PRESIDENT & CEO)
(503) 775-4931
Entity
Organization
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0005X
Ambulatory Family Planning Facility
—
OR
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000948000
BLUE CROSS
—
05
—
1001217
—
WA
05
—
320044
—
OR
05
—
7902208
—
WA
Enumeration date
07/22/2005
Last updated
07/21/2022
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