Healthcare Provider Details

I. General information

NPI: 1083700686
Provider Name (Legal Business Name): PLANNED PARENTHOOD GREAT NORTHWEST, HAWAI'I, ALASKA, INDIANA, KENTUCKY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 E MADISON
SEATTLE WA
98122-2959
US

IV. Provider business mailing address

2001 E MADISON
SEATTLE WA
98122
US

V. Phone/Fax

Practice location:
  • Phone: 206-328-7722
  • Fax: 206-720-4657
Mailing address:
  • Phone: 206-328-7722
  • Fax: 206-720-4657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number578-040-516
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL JOHNSON
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 206-328-6826