Pacific Urgent Care LLC -an Oregon LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PACIFIC URGENT CARE LLC -AN OREGON LLC

Practice address

900 Ocean Beach Hwy Ste 110
Longview, WA 98632-4171

Phone

(360) 648-8860

NPI assigned

Mar 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aloysius Fobi, MD

Title

Medical Director

Phone

(503) 953-2391

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1134829989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OCEAN BEACH HWY STE 110",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324171",
            "telephone_number": "360-648-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OCEAN BEACH HWY STE 110",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324171",
            "telephone_number": "360-648-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC URGENT CARE LLC -AN OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "FOBI",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-953-2391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Teniola Oyebode, PHARMD, BS, RPH
• P. Brodie Wood, MD 2 PSC
• Pacific Counseling Services
• Pacific Northwest Urgent Care LLC
• Pacific Psychological Associates
• Cynthia Pack
• Sonya M Packard, BS, CDPT
• William Edward Padden, CPC
• Carol Ann Pahlke, PHD
• George Palmer, P.T

• Emergency Medicine Physician in Longview, WA
• Providers in Longview, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.