Healthcare Provider Details

I. General information

NPI: 1801962501
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF WESTERN WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 30TH AVE SW
PUYALLUP WA
98373-2756
US

IV. Provider business mailing address

702 30TH AVE SW
PUYALLUP WA
98373-2756
US

V. Phone/Fax

Practice location:
  • Phone: 253-445-7440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License NumberAP30006896
License Number StateWA

VIII. Authorized Official

Name: JESSICA SWENSON
Title or Position: CLINICIAN
Credential: ARNP
Phone: 253-445-7440