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Organization
EXPRESS CARE AK LLC
Active
Organization
EXPRESS CARE AK LLC
Active
Other names
PROVIDENCE URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1200 W NORTHERN LIGHTS BLVD STE B, ANCHORAGE, AK 99503-3652
(907) 212-5165
Mailing address
PO BOX 5608, PORTLAND, OR 97228-5608
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/04/2022
Last updated
05/06/2025
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