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NPI Code Detail

MEDICARE: DR. CYNTHIA K. PERRY PHD, FNP

MEDICARE: DR. CYNTHIA K. PERRY PHD, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN00162005WA
2363L00000XNurse PractitionerAP30007125WA
3363LF0000XFamily Nurse Practitioner090007382N1OR
4163W00000XRegistered Nurse090007382RNOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396841631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA K. PERRY PHD, FNP
Provider Business Mailing Address
First Line : 3727 NE MARTIN LUTHER KING JR BLVD
Second Line : PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE
City : PORTLAND
State : OR
Zip : 97212-1112
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Provider Business Practice Location Address
First Line : 3727 NE MARTIN LUTHER KING JR BLVD
Second Line : PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE
City : PORTLAND
State : OR
Zip : 97212-1112
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 06/18/2014

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1063687895 — PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.
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