Urgentcare NW - Fairview PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENTCARE NW - FAIRVIEW PC

Practice address

22262 NE Glisan St
Gresham, OR 97030-8553

Phone

(503) 666-5050

Fax

(503) 666-7410

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa L Jarchow

Title

Billing Lead

Phone

(503) 666-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1255583258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300167",
            "telephone_number": "503-666-5050",
            "fax_number": "503-666-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22262 NE GLISAN ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308553",
            "telephone_number": "503-666-5050",
            "fax_number": "503-666-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENTCARE NW - FAIRVIEW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "JARCHOW",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING LEAD",
        "authorized_official_telephone_number": "503-666-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Unverrich
• Uplift Residential LLC
• Urgent Care NW Gresham PC
• Daniel Paul Vago
• Elizabeth L Valadez, CRM/PSS
• Brittany Lynn Valencia Fritsch, CSWA
• David Arthur Valencia, LAC
• Claire Valentine

• Urgent Care Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Urgent Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.