Organization
EMURGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HASINA KOHISTANI PA-C (OWNER)
(612) 306-7403
Entity
Organization
Contact information
Practice address
109 E ELLENDALE AVE STE B, DALLAS, OR 97338-1509
(503) 623-3199
(503) 623-3398
Mailing address
109 E ELLENDALE AVE STE B, DALLAS, OR 97338-1509
(503) 623-3199
(503) 623-3398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO27917
OR
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
08/01/2022
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