# MAXEM HEALTH URGENT CARE LAKE OSWEGO

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

## Provider details

- **NPI number:** 1902478225
- **Authorized official:** BRIANNE WHITNEY (CEO/PRESIDENT)
- **Authorized official phone:** (707) 319-5068

## Contact information

- **Practice address:** 17437 BOONES FERRY RD STE 100, LAKE OSWEGO, OR 97035-6202
- **Practice address phone:** (707) 319-5068
- **Mailing address:** PO BOX 1248, OCEAN SPRINGS, MS 39566-1248
- **Mailing address phone:** (707) 319-5068
- **Mailing address fax:** (228) 382-9224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 11/13/2022