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NPI 1639209117

NPI 1639209117 : PLANNED PARENTHOOD OF SOUTHWESTERN OREGON : MEDFORD, OR

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General NPI Number Information
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    NPI Number           |    1639209117
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLANNED PARENTHOOD OF SOUTHWESTERN OREGON 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    125 S CENTRAL AVE SUITE 201
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    City                 |    MEDFORD
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    State                |    OR
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    Zip                  |    97501-7205
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    Country              |    US
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    Telephone            |    541-344-2632
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    Fax                  |    541-344-6519
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Provider Business Mailing Address
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    Address Line         |    3579 FRANKLIN BLVD 
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    City                 |    EUGENE
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    State                |    OR
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    Zip                  |    97403-2356
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    Country              |    US
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    Telephone            |    541-344-2632
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    Fax                  |    541-344-6519
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Authorized Official
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    Title or Position    |    DIRECTOR OF FINANCE
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    Name                 |     CHRIS  STAUB 
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    Credential           |    
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    Telephone            |    503-407-5324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QF0050X
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    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
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    License Number       |    
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    License Number State |    
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