Organization
URGENT CARE NW GRESHAM PC
Active
Other names
Gresham Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA L JARCHOW (SUPERVISOR)
(503) 666-5050
Entity
Organization
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080
(503) 666-5050
(503) 666-7410
Mailing address
PO BOX 647, GRESHAM, OR 97030-0167
(503) 666-5050
(503) 666-7410
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD14769
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134019
—
OR
Enumeration date
01/10/2006
Last updated
08/10/2010
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