Healthcare Provider Details

I. General information

NPI: 1154451615
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: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 Q ST
SPRINGFIELD OR
97477-2169
US

IV. Provider business mailing address

3579 FRANKLIN BLVD
EUGENE OR
97403-2356
US

V. Phone/Fax

Practice location:
  • Phone: 541-344-2632
  • Fax: 541-344-6519
Mailing address:
  • Phone: 541-344-2632
  • Fax: 541-344-6519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License NumberMD12242
License Number StateOR

VIII. Authorized Official

Name: MS. KELLY HALL
Title or Position: DIRECTOR OF PATIENT SERVICES
Credential:
Phone: 541-344-2632