Organization
EXPRESS CARE AK LLC
Active
Other names
PROVIDENCE URGENT 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
1200 W NORTHERN LIGHTS BLVD STE B, ANCHORAGE, AK 99503-3652
(907) 212-5165
Mailing address
PO BOX 5608, PORTLAND, OR 97228-5608
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
05/06/2025
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