# EXPRESS CARE AK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROVIDENCE URGENT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770244568
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 1200 W NORTHERN LIGHTS BLVD STE B, ANCHORAGE, AK 99503-3652
- **Practice address phone:** (907) 212-5165
- **Mailing address:** PO BOX 5608, PORTLAND, OR 97228-5608
- **Mailing address phone:** (888) 227-3312

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 05/06/2025