Organization
EXPRESS CARE OR PC
Active
Other names
PROVIDENCE EXPRESS 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
1025 NW 14TH AVE, PORTLAND, OR 97209-2705
(888) 327-3312
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(888) 227-3312
(425) 276-3215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/16/2019
Last updated
06/03/2025
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