Healthcare Provider Details

I. General information

NPI: 1255647806
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 WEST COURT STREET
PASCO WA
99301-2776
US

IV. Provider business mailing address

1117 TIETON DR
YAKIMA WA
98902-3835
US

V. Phone/Fax

Practice location:
  • Phone: 866-904-7721
  • Fax: 509-248-3644
Mailing address:
  • Phone: 866-904-7721
  • Fax: 509-576-8685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KIM A NELSON
Title or Position: VP OF FINANCE
Credential:
Phone: 866-904-7721