Organization
PEDIATRIC URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL N THOMAS MD (ADMINISTRATOR)
(503) 643-2100
Entity
Organization
Contact information
Practice address
11790 SW BARNES RD, STE. 140, PORTLAND, OR 97225-5934
(503) 643-2100
(503) 643-7300
Mailing address
11790 SW BARNES RD, STE. 140, PORTLAND, OR 97225-5934
(503) 643-2100
(503) 643-7300
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
12/03/2013
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