Active NPI
Uptown Providers PC
- General Practice Physician
- Lake Oswego, OR
National Provider Identifier
1316249394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- UPTOWN PROVIDERS PC
- Practice address
- 17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035-6201 - Phone
- (503) 305-6262
- Fax
- (503) 305-6078
- NPI assigned
- Nov 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guru Sankar
- Title
- Center Director
- Phone
- (503) 744-0399
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035-6201
Mailing address
17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035-6201
Phone (503) 305-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796
25 NW 23rd Pl
Portland, OR 97210
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Vancouver, WA
- NPI 1902819451
-
- Physician Assistant
- Portland, OR
- NPI 1922720747
-
- Endocrinology, Diabetes & Metabolism Physician
- Portland, OR
- NPI 1659733202
-
- Physician Assistant
- Vancouver, WA
- NPI 1720711401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609718400000",
"number": "1316249394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17437 BOONES FERRY RD",
"address_2": "STE 100",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970356201",
"telephone_number": "503-305-6262",
"fax_number": "503-305-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17437 BOONES FERRY RD",
"address_2": "STE 100",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970356201",
"telephone_number": "503-305-6262",
"fax_number": "503-305-6078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN PROVIDERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-24",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A",
"authorized_official_last_name": "SANKAR",
"authorized_official_first_name": "GURU",
"authorized_official_title_or_position": "CENTER DIRECTOR",
"authorized_official_telephone_number": "503-744-0399"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.