PLANNED PARENTHOOD COLUMBIA WILLAMETTE
NPI 1063687895
Clinic/Center in Portland, OR

NPI Status: Active since April 23, 2008

Contact Information

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212
Phone: (503) 775-4931
Fax: (503) 788-7285

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 38D0623568
  • CLIA Cert. Type: Other - FAMILY PLANNING
  • CLIA Exp. Date: 09-24-2026

About PLANNED PARENTHOOD COLUMBIA WILLAMETTE

This page provides the complete NPI Profile along with additional information for Planned Parenthood Columbia Willamette, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063687895 assigned on April 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Planned Parenthood Columbia Willamette. The authorized official of this NPI record is Ms. Stacy Cross (Cheif Executive Officer)

NPI
1063687895
Provider Legal Name
PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC.
Other Organization Name
PLANNED PARENTHOOD COLUMBIA WILLAMETTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212
Location Phone
(503) 775-4931
Location Fax
(503) 788-7285
Mailing Address
3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212
Mailing Phone
(503) 775-4931
Mailing Fax
(503) 788-7285
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-23-2008
Last Update Date
07-22-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. STACY CROSS

Authorized Official Title
CHEIF EXECUTIVE OFFICER
Authorized Official Phone
(503) 775-4931

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1060114MEDICAID (05)WA 
075374MEDICAID (05)OR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D0623568
Facility Type
Other - FAMILY PLANNING
Certificate Effective Date
September 25, 2024
Certificate Expiration Date
September 24, 2026
Laboratory Director
RICHARD M. SCANLAN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Planned Parenthood Columbia Willamette after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for PLANNED PARENTHOOD COLUMBIA WILLAMETTE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063687895
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012312814818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 8 + 1 + 4 + 8 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1063687895 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DANA WENDY MOZER FNP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

NANCY MARIE GIBSON FNP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

SARAH CAMP FNP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
ATTN: CREDENTIALING
PORTLAND, OR
ZIP 97212

(503) 775-4931

EILEEN F SCHMELLER NP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

ANNIE E JOHNSON CNM

Advanced Practice Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

ELIZABETH PAULA BANKS FNP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

KATHERINE BEAUMONT

Registered Nurse

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

DR. CYNTHIA K. PERRY PHD, FNP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE
PORTLAND, OR
ZIP 97212

(503) 775-4931

SKYE FROME FNP

Nurse Practitioner

(Family)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

MS. LINDSEY JOANN WISMER NP

Nurse Practitioner

(Women's Health)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE

Non-Pharmacy Dispensing Site

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

KATRINA PINKERTON N.P.

Nurse Practitioner

(Women's Health)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 778-7273

RINA SHAPIRO RN, CNM

Advanced Practice Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 788-7273

SHAALINI RAMANADHAN M.D.

Obstetrics & Gynecology

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(888) 576-7526

MISRA COHEN-MACGILL RN

Advanced Practice Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(720) 771-0636

JESSICA LEIGH ZAMAN CNM

Advanced Practice Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 788-7273

KATHLEEN MARIE NAVE CNM

Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 788-7273

SARA F BALDAUF-WILCOX CNM

Advanced Practice Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

MS. VIVIAN S LIU CNM

Advanced Practice Midwife

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

CRAIG STEVEN HAGGETT MSN, FNP

Nurse Practitioner

(Primary Care)

3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212

(503) 775-4931

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063687895, enumerated as an "organization" on April 23, 2008.

The provider is located at 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 and the phone number is (503) 775-4931.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.