National Provider Identifier Database

URGENT CARE NW GRESHAM PC
Urgent Care


Contact Information

URGENT CARE NW GRESHAM PC
2850 SE POWELL VALLEY RD
GRESHAM, OR97080
Phone: 503-666-5050
Fax: 503-666-7410
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for URGENT CARE NW GRESHAM PC

NPI Number 1336128321
Legal business name
LBN
URGENT CARE NW GRESHAM PC
Authorized official MELISSA JARCHOW - (SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 01/10/2006
Last updated 08/10/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: MD14769
  • OR Medicaid: 134019

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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