NPIMap

Organization Active NPI

Hillsboro Urgent Care and Occupational Health

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1255468179
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18724 Issued in OR
Legal business name
HILLSBORO URGENT CARE AND OCCUPATIONAL HEALTH
Practice address
434 S 1St Ave
Ste 300
Hillsboro, OR 97123-3982
Phone
(503) 648-8210
Fax
(506) 648-8283
NPI assigned
Feb 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bryan D Miller, D.O.NPI 1194726810
Title
Owner
Phone
(503) 648-8210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 18724 OR
Urgent Care Clinic/Center 261QU0200X 18724 OR
Family Medicine Physician 207Q00000X 18724 OR Primary
Aerospace Medicine Physician 2083A0100X 18724 OR
Occupational Medicine Physician 2083X0100X 18724 OR

Addresses

Primary practice location

434 S 1St Ave
Ste 300
Hillsboro, OR 97123-3982

Mailing address

434 S 1St Ave
Ste 300
Hillsboro, OR 97123-3982
Phone (503) 648-8210

Other identifiers 1

IdentifierTypeStateIssuer
029029MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1255468179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S 1ST AVE",
            "address_2": "STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233982",
            "telephone_number": "503-648-8210",
            "fax_number": "506-648-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S 1ST AVE",
            "address_2": "STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233982",
            "telephone_number": "503-648-8210",
            "fax_number": "506-648-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO URGENT CARE AND OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-648-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "18724",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "18724",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "18724",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "OR",
            "license": "18724",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OR",
            "license": "18724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029029",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.