# URGENT CARE NW GRESHAM PC

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

## Provider details

- **NPI number:** 1336128321
- **Authorized official:** MRS. MELISSA L JARCHOW (SUPERVISOR)
- **Authorized official phone:** (503) 666-5050

## Contact information

- **Practice address:** 2850 SE POWELL VALLEY RD, GRESHAM, OR 97080
- **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 | MD14769 | OR | Yes |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 08/10/2010
