MEDICARE: PLANNED PARENTHOOD OF THE GREAT NORTHWEST AND THE HAWAIIAN ISLANDS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	261QC1500X	Community Health Clinic/Center	HI
2	363LW0102X	Women's Health Nurse Practitioner	HI
3	207VG0400X	Gynecology Physician	HI
4	261QF0050X	Non-Surgical Family Planning Clinic/Center	WA

General Provider Information

NPI Number	:	1558424473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF THE GREAT NORTHWEST AND THE HAWAIIAN ISLANDS

Provider Business Mailing Address
First Line	:	2001 EAST MADISON STREET
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98178
Country	:	US
Telephone Number	:	206-328-6826
Fax Number	:	808-589-1404

Provider Business Practice Location Address
First Line	:	2001 EAST MADISON STREET
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98178
Country	:	US
Telephone Number	:	877-320-7619
Fax Number	:	209-320-7656

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	MARY WENDT
Credential	:	MPA-HA
Telephone Number	:	206-328-6826

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/27/2015

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Directions to “PLANNED PARENTHOOD OF THE GREAT NORTHWEST AND THE HAWAIIAN ISLANDS ” Practice Location

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