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Organization
PACIFIC NORTHWEST URGENT CARE LLC
Active
Organization
PACIFIC NORTHWEST URGENT CARE LLC
Active
Other names
Pacific Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYSIUS FOBI MD (SOLE OWNER)
(503) 953-2391
Entity
Organization
Contact information
Practice address
900 OCEAN BEACH HWY STE 110, LONGVIEW, WA 98632-4171
(360) 648-8860
Mailing address
6344 SE 87TH AVE, PORTLAND, OR 97266-5330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/02/2020
Last updated
06/24/2020
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