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General NPI Number Information
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NPI Number | 1710036280
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Entity Type | Organization
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Legal Business Name | SHERWOOD URGENT CARE & MEDICAL CENTER
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 11820 SW KING JAMES PL #30
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City | KING CITY
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State | OR
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Zip | 97224-2481
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Country | US
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Telephone | 503-625-4100
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Fax | 971-245-6276
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Provider Business Mailing Address
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Address Line | 11820 SW KING JAMES PL SUITE #30
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City | KING CITY
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State | OR
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Zip | 97224-2481
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Country | US
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Telephone | 503-625-4100
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Fax | 971-245-6276
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MRS. ANDREA M. VOLK
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Credential | CLINIC MANAGER
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Telephone | 503-625-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 261QU0200X
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 261QP2300X
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License Number State | OR
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