Healthcare Provider Details

I. General information

NPI: 1790706190
Provider Name (Legal Business Name): URGENT CARE OREGON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 FAIRVIEW ST
SILVERTON OR
97381-1916
US

IV. Provider business mailing address

335 FAIRVIEW ST
SILVERTON OR
97381-1916
US

V. Phone/Fax

Practice location:
  • Phone: 503-873-8686
  • Fax: 503-873-8689
Mailing address:
  • Phone: 503-873-8686
  • Fax: 503-873-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RODNEY EARL ORR
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 503-873-8686