Provider Demographics
NPI:1427452440
Name:PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
Entity type:Organization
Organization Name:PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-904-7721
Mailing Address - Street 1:3901 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-2776
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 RHONE ST
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250-8070
Practice Address - Country:US
Practice Address - Phone:360-734-9095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600033210363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7913700Medicaid