NPIMap

Organization Active NPI

Milwaukie Urgent Care

  • Clinic/Center
  • Milwaukie, OR
National Provider Identifier
1356693873
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD21092 Issued in OR
Legal business name
MILWAUKIE URGENT CARE
Practice address
2403 SE Monroe St
Suite a
Milwaukie, OR 97222-7646
Phone
(503) 659-4444
Fax
(503) 659-1661
NPI assigned
Oct 8, 2012
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Lisa Camille Joyner, MDNPI 1821216508
Title
Owner
Phone
(503) 659-4444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD21092 OR Primary

Addresses

Primary practice location

2403 SE Monroe St
Suite a
Milwaukie, OR 97222-7646

Mailing address

2403 SE Monroe St
Suite a
Milwaukie, OR 97222-7646
Phone (503) 659-4444

Other identifiers 1

IdentifierTypeStateIssuer
130251MedicaidOR

Other names 1

  • Express Healing PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1020 SE 7th Ave
Unit 15248
Portland, OR 97293

Practitioners & affiliated clinicians

Practitioners 1

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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1356693873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST",
            "address_2": "SUITE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-659-4444",
            "fax_number": "503-659-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST",
            "address_2": "SUITE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-659-4444",
            "fax_number": "503-659-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKIE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-659-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD21092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130251",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Healing PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.