Provider Demographics
NPI:1215498779
Name:COMMUNITY PREGNANCY CENTER OF CAMAS/WASHOUGAL
Entity type:Organization
Organization Name:COMMUNITY PREGNANCY CENTER OF CAMAS/WASHOUGAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLI
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SWENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-834-7256
Mailing Address - Street 1:PO BOX 1036
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-0036
Mailing Address - Country:US
Mailing Address - Phone:360-834-7256
Mailing Address - Fax:360-844-5693
Practice Address - Street 1:2926 E ST
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-2021
Practice Address - Country:US
Practice Address - Phone:360-834-7256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty