# PACIFIC NORTHWEST URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215561998
- **Authorized official:** ALOYSIUS FOBI MD (SOLE OWNER)
- **Authorized official phone:** (503) 953-2391

## Contact information

- **Practice address:** 900 OCEAN BEACH HWY STE 110, LONGVIEW, WA 98632-4171
- **Practice address phone:** (360) 648-8860
- **Mailing address:** 6344 SE 87TH AVE, PORTLAND, OR 97266-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2020
- **Last updated:** 06/24/2020