Pacific Northwest Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PACIFIC NORTHWEST URGENT CARE LLC

Doing business as

Pacific Urgent Care

Practice address

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

Phone

(360) 648-8860

NPI assigned

Mar 2, 2020

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

Sole Owner

Phone

(503) 953-2391

Specialties & licenses 2

Addresses

Other names 1

• Pacific Urgent Care Doing business as

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1215561998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 SE 87TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665330"
        },
        {
            "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 NORTHWEST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "FOBI",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_title_or_position": "SOLE OWNER",
        "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": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Owens, CNA
• Heather Renee Owens
• Peace Teniola Oyebode, PHARMD, BS, RPH
• P. Brodie Wood, MD 2 PSC
• Pacific Counseling Services
• Pacific Psychological Associates
• Pacific Urgent Care LLC -an Oregon LLC
• Cynthia Pack
• Sonya M Packard, BS, CDPT
• William Edward Padden, CPC

• Urgent Care Clinic/Center in Longview, WA
• Providers in Longview, WA by specialty
• Urgent Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.