# EMURGENT CARE LLC

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

## Provider details

- **NPI number:** 1265871123
- **Authorized official:** CRYSTAL HASINA KOHISTANI PA-C (OWNER)
- **Authorized official phone:** (612) 306-7403

## Contact information

- **Practice address:** 109 E ELLENDALE AVE STE B, DALLAS, OR 97338-1509
- **Practice address phone:** (503) 623-3199
- **Practice address fax:** (503) 623-3398
- **Mailing address:** 109 E ELLENDALE AVE STE B, DALLAS, OR 97338-1509
- **Mailing address phone:** (503) 623-3199
- **Mailing address fax:** (503) 623-3398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO27917 | OR | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 08/01/2022