CORNELL URGENT CARE NPI 1871864603

NPI Information

NPI: 1871864603
Provider Name: CORNELL URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
12325 SW HORIZON BLVD UNIT 225
BEAVERTON, OR
ZIP 97007
Phone: (503) 747-0120
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CORNELL URGENT CARE is an urgent care clinic center in Beaverton, OR. CORNELL URGENT CARE NPI is 1871864603. The provider is registered as an organization entity type.

The provider's business location address is:

12325 SW HORIZON BLVD UNIT 225
BEAVERTON, OR
ZIP 97007-474
Phone: (503) 747-0120

The provider's authorized official is Sejung Shin .
The authorized official title is President and has the following contact phone number (503) 747-0120.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	MD22180	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	024277	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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