Organization
PACIFIC NORTHWEST URGENT CARE LLC
Active
Other names
Pacific Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYSIUS FOBI MD (SOLE OWNER)
(503) 953-2391
Entity
Organization
Contact information
Practice address
900 OCEAN BEACH HWY STE 110, LONGVIEW, WA 98632-4171
(360) 648-8860
Mailing address
6344 SE 87TH AVE, PORTLAND, OR 97266-5330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
06/24/2020
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