Organization
URGENTCARE NW-ASTORIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A KLATT (CHIEF OPERATIONS OFFICER)
(503) 325-0333
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, SUITE 111, ASTORIA, OR 97103-3366
(503) 325-0333
(503) 325-6333
Mailing address
PO BOX 96, BORING, OR 97009
(503) 577-8410
(503) 325-6333
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
1351854-3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246578
—
OR
Enumeration date
06/20/2008
Last updated
11/06/2015
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