Provider Demographics
NPI:1659434462
Name:CENTER FOR WOMEN & THE FAMILY
Entity Type:Organization
Organization Name:CENTER FOR WOMEN & THE FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:K
Authorized Official - Last Name:MARKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-278-0108
Mailing Address - Street 1:1304 SE COURT PL
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3220
Mailing Address - Country:US
Mailing Address - Phone:541-278-0108
Mailing Address - Fax:
Practice Address - Street 1:1304 SE COURT PL
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3220
Practice Address - Country:US
Practice Address - Phone:541-278-0108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26356207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR273134Medicaid
OR1578564415OtherNPI
ORG65303Medicare UPIN