Provider Demographics
NPI:1760546899
Name:OKANOGAN FAMILY PLANNING
Entity Type:Organization
Organization Name:OKANOGAN FAMILY PLANNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINNEA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-422-6593
Mailing Address - Street 1:127 N JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:OMAK
Mailing Address - State:WA
Mailing Address - Zip Code:98841-9337
Mailing Address - Country:US
Mailing Address - Phone:509-422-6593
Mailing Address - Fax:509-422-0907
Practice Address - Street 1:127 N JUNIPER ST
Practice Address - Street 2:
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-9337
Practice Address - Country:US
Practice Address - Phone:509-422-6593
Practice Address - Fax:509-422-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7013063Medicaid
WA7103203Medicaid