Organization Name: | MT. BAKER PLANNED PARENTHOOD |
NPI Number: | 1427452440 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA MCCARTHY (EXECUTIVE DIRECTOR) |
Mailing Address: | 470 Reed Street Unit 2a Friday Harbor |
State: | WA US |
Postal Code: | 98250 |
Phone Number: | 3603786010 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2014 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 600033210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |