# SEASIDE URGENT CARE

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

## Provider details

- **NPI number:** 1578741427
- **Authorized official:** JOANN STEFANELLI (PRACTICE MANAGER)
- **Authorized official phone:** (503) 738-9112

## Contact information

- **Practice address:** 580 AVENUE U, SEASIDE, OR 97138-5065
- **Practice address phone:** (503) 738-9112
- **Mailing address:** 580 AVENUE U, SEASIDE, OR 97138-5065
- **Mailing address phone:** (503) 738-9112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | MD19990 | OR | Yes |

## Other

- **Enumeration date:** 02/02/2008
- **Last updated:** 02/02/2008