# URGENTCARE NW-ASTORIA PC

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

## Provider details

- **NPI number:** 1902067010
- **Authorized official:** MARY A KLATT (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (503) 325-0333

## Contact information

- **Practice address:** 2120 EXCHANGE ST, SUITE 111, ASTORIA, OR 97103-3366
- **Practice address phone:** (503) 325-0333
- **Practice address fax:** (503) 325-6333
- **Mailing address:** PO BOX 96, BORING, OR 97009
- **Mailing address phone:** (503) 577-8410
- **Mailing address fax:** (503) 325-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | 1351854-3 | OR | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 11/06/2015