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Urgentcare Nw - Fairview PC

Clinic/Center, Urgent Care in Gresham, OR. Organization (NPI-2).

NPI number1255583258
StatusActive
Last updated in NPPESAug 19, 2009

Details

NPI
1255583258
Entity type
Organization (NPI-2)
Legal business name
Urgentcare Nw - Fairview PC
Organization subpart
No
Enumeration date
Oct 21, 2008
Last updated
Aug 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes

Practice location

22262 Ne Glisan St
Gresham, OR 97030-8553

Phone 503-666-5050 · Fax 503-666-7410

Mailing address

Po Box 647
Gresham, OR 97030-0167

Phone 503-666-5050 · Fax 503-666-7410

Authorized official

Melissa L Jarchow
Billing Lead
5036665050

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