38D2027249 CLIA NUMBER - NORTHWEST URGENT CARE PHASE 1 LLC

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Laboratory Demographics

CLIA Number: 38D2027249

Facility Name: NORTHWEST URGENT CARE PHASE 1 LLC

Facility Address:
1900 MCLOUGHLIN BLVD STE 67
OREGON CITY, OR
ZIP 97045
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Facility Phone Number: 503 305-6159

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1700122058

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	38D2027249
LAB Type	Other - URGENT CARE
Facility Name	NORTHWEST URGENT CARE PHASE 1 LLC
Street	1900 MCLOUGHLIN BLVD STE 67
City	OREGON CITY
State	OR
ZIP	97045
Phone	503 305-6159
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024