NPIMap

Organization Active NPI

Uptown Providers PC

  • Urgent Care Clinic/Center
  • Tigard, OR
National Provider Identifier
1346903531
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UPTOWN PROVIDERS PC
Practice address
11675 SW Pacific Hwy
Tigard, OR 97223-8672
Phone
(503) 305-6262
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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) 305-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11675 SW Pacific Hwy
Tigard, OR 97223-8672

Mailing address

8060 SW Pfaffle St Ste 106
Tigard, OR 97223-8489

Other names 1

  • AFC Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000068 OR Part B Supplier - Clinic/Group Practice 4284891243 Receives reassigned benefits from 59 practitioners
6 other NPIs on this enrollment
Practice locations: Beaverton, OR; Hillsboro, OR; Oregon City, OR; Portland, OR; Tigard, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2019797Afc Urgent Care of Tigard11675 SW Pacific Hwy, Tigard, OR 97223Certificate of waiverDec 31, 2026

National Provider Directory

National Provider Directory

Locations

14278 SW Allen Blvd
Beaverton, OR 97005

7500 NE 117th Ave
Vancouver, WA 98662

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1346903531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 SW PFAFFLE ST STE 106",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238672",
            "telephone_number": "503-305-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN PROVIDERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "SANKAR",
        "authorized_official_first_name": "GURU",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "503-305-6262"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.