Provider Demographics
NPI:1871531939
Name:PLANNED PARENTHOOD COLUMBIA WILLAMETTE
Entity type:Organization
Organization Name:PLANNED PARENTHOOD COLUMBIA WILLAMETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:503-363-8732
Mailing Address - Street 1:3682 SILVERSTONE CT NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-3059
Mailing Address - Country:US
Mailing Address - Phone:503-588-7287
Mailing Address - Fax:
Practice Address - Street 1:3825 WOLVERINE ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1201
Practice Address - Country:US
Practice Address - Phone:503-363-8732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200137NP261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility