Healthcare Provider Details
I. General information
NPI: 1770613234
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF SOUTHWESTERN OREGON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2007
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
793 N DANEBO AVE
EUGENE OR
97402-2224
US
IV. Provider business mailing address
3579 FRANKLIN BLVD
EUGENE OR
97403-2356
US
V. Phone/Fax
- Phone: 541-344-2632
- Fax: 541-344-6519
- Phone: 541-344-2632
- Fax: 541-344-6519
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
CHRIS
STAUB
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 503-407-5324