# PEDIATRIC URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033423371
- **Authorized official:** DR. PAUL N THOMAS MD (ADMINISTRATOR)
- **Authorized official phone:** (503) 643-2100

## Contact information

- **Practice address:** 11790 SW BARNES RD, STE. 140, PORTLAND, OR 97225-5934
- **Practice address phone:** (503) 643-2100
- **Practice address fax:** (503) 643-7300
- **Mailing address:** 11790 SW BARNES RD, STE. 140, PORTLAND, OR 97225-5934
- **Mailing address phone:** (503) 643-2100
- **Mailing address fax:** (503) 643-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 12/03/2013