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Active NPI 1336128321 Organization (Entity Type 2)

Urgent Care Nw Gresham Pc

Clinic/Center - Urgent Care • Gresham, OR

About Urgent Care Nw Gresham Pc NPI 1336128321 Summary

Urgent Care Nw Gresham Pc is a verified healthcare organization specializing in Clinic/Center - Urgent Care operating in Gresham, OR. Located at 2850 SE POWELL VALLEY RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1336128321.

Administrative operations and authorized compliance are overseen by Melissa Jarchow (Supervisor).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2850 Se Powell Valley Rd

Gresham, OR 97080

Telephone 5036665050

Fax 5036667410

Authorized Official Information

Authorized Contact Name

MRS. Melissa Jarchow

Title / Role

Supervisor

Official Telephone

5036665050

Facility Classifications & Specialties

Clinic/Center - Urgent Care Primary Taxonomy

NUCC Taxonomy Code: 261QU0200X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked

Dr. Mark Hosko , MD NPI 1043233570

General Practice

Gresham, OR

View Practitioner Profile →

Brandon Parsons , PA-CERTIFIED NPI 1154722692

Physician Assistant

Gresham, OR

View Practitioner Profile →

Robert Fox , PA NPI 1194752014

Physician Assistant

Gresham, OR

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Gina Bawden , PA-C NPI 1245414978

Physician Assistant

Gresham, OR

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Aaron Liere NPI 1255352985

Physician Assistant

Gresham, OR

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Susan Rivard-Dibenedetto , PA-C NPI 1265493399

Physician Assistant

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active August 10, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2010

Registered at 2850 SE POWELL VALLEY RD, GRESHAM, OR 97080 (Tel: 5036665050)

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Updated Business Mailing Address August 10, 2010

Registered at PO BOX 647, GRESHAM, OR 970300167 (Tel: 5036665050)

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Organization / Clinic Name Updated August 10, 2010

Operating as URGENT CARE NW GRESHAM PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2010

Clinic/Center (License #MD14769 in OR)

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Initial NPI Registration & Enumeration January 10, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1336128321

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: January 10, 2006

Last Update: August 10, 2010

Update or Correct Listing

Mailing Address

Po Box 647

Gresham, OR 970300167

Phone: 5036665050

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.