Healthcare Provider Details

I. General information

NPI: 1255400073
Provider Name (Legal Business Name): FEMINIST WOMEN'S HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401-A MARTIN LUTHER KING JUNIOR WAY
TACOMA WA
98405
US

IV. Provider business mailing address

106 E E ST
YAKIMA WA
98901-2312
US

V. Phone/Fax

Practice location:
  • Phone: 253-473-6031
  • Fax: 253-475-5949
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: FINANCIAL OFFICE DIRECTOR
Credential:
Phone: 509-728-9037