Healthcare Provider Details

I. General information

NPI: 1245206507
Provider Name (Legal Business Name): FEMINIST WOMEN'S HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S CARR RD STE 200
RENTON WA
98055-5866
US

IV. Provider business mailing address

106 E E ST
YAKIMA WA
98901-2312
US

V. Phone/Fax

Practice location:
  • Phone: 425-255-0473
  • Fax: 425-255-0262
Mailing address:
  • Phone: 509-575-6473
  • Fax: 509-575-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number600400690
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number600400690
License Number StateWA

VIII. Authorized Official

Name: DARLENE PACKARD
Title or Position: DIRECTOR OF FINANCE AND ADMIN
Credential:
Phone: 509-728-9036