OrganizationActive
Pediatric Urgent Care LLC
NPI 1033423371 · Urgent Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1033423371
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Thomas, Administrator(503) 643-2100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11790 Sw Barnes Rd
Ste. 140
Portland, OR 97225-5934
Phone: (503) 643-2100
Fax: (503) 643-7300
Approximate (ZIP-level) locationGet directions
Mailing address
11790 Sw Barnes Rd
Portland, OR 97225-5934
Registry dates
- Enumerated
- 2010-07-28
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.