Healthcare Provider Details
I. General information
NPI: 1841219045
Provider Name (Legal Business Name): NEWBERG URGENT CARE AND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2880 HAYES ST
NEWBERG OR
97132-1310
US
IV. Provider business mailing address
2880 HAYES ST
NEWBERG OR
97132-1310
US
V. Phone/Fax
- Phone: 503-537-9600
- Fax: 503-537-0105
- Phone: 503-537-9600
- Fax: 503-537-0105
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
M
MATTHEWS
Title or Position: OWNER
Credential: M.D.
Phone: 503-537-9600