# URGENTCARE NW - FAIRVIEW PC

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

## Provider details

- **NPI number:** 1255583258
- **Authorized official:** MRS. MELISSA L JARCHOW (BILLING LEAD)
- **Authorized official phone:** (503) 666-5050

## Contact information

- **Practice address:** 22262 NE GLISAN ST, GRESHAM, OR 97030-8553
- **Practice address phone:** (503) 666-5050
- **Practice address fax:** (503) 666-7410
- **Mailing address:** PO BOX 647, GRESHAM, OR 97030-0167
- **Mailing address phone:** (503) 666-5050
- **Mailing address fax:** (503) 666-7410

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 08/19/2009
