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Organization
EXPRESS CARE OR PC
Active
Organization
EXPRESS CARE OR PC
Active
Other names
PROVIDENCE EXPRESS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1025 NW 14TH AVE, PORTLAND, OR 97209-2705
(888) 327-3312
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(888) 227-3312
(425) 276-3215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/16/2019
Last updated
06/03/2025
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