Dr. Corey Fish was a primary care pediatrician when he realized the need for an urgent care clinic geared specifically towards children. “Kids are not little adults,” he likes to tell people, and before he opened Pacific Crest Urgent Care in Portland, parents were left with limited options when their child required urgent medical care. Most often the emergency room is a family’s only option and “seventy plus percent of the time, an ER isn’t really necessary for the child to go to,” he added, “and that’s just a really wasteful way to practice medicine.”