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Organization
PACIFIC CREST CHILDRENS URGENT CARE LLC
Active
Organization
PACIFIC CREST CHILDRENS URGENT CARE LLC
Active
Other names
Brave Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY ADAIR FISH MD (CHIEF MEDICAL OFFICER)
(503) 963-7963
Entity
Organization
Contact information
Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
(503) 954-2112
Mailing address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
(503) 954-2122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/04/2017
Last updated
05/30/2023
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