Organization Active NPI

Sherwood Family Medicine PC

  • Health Service Clinic/Center
  • Sherwood, OR
National Provider Identifier
1437328903
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MD23583 Issued in OR
Legal business name
SHERWOOD FAMILY MEDICINE PC
Practice address
20015 SW Pacific Hwy
Suite 221
Sherwood, OR 97140
Phone
(503) 625-2848
Fax
(503) 625-2899
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Maggie K Yu, MD
Title
Owner
Phone
(503) 515-6269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MD23583 OR Primary

Addresses

Primary practice location

20015 SW Pacific Hwy
Suite 221
Sherwood, OR 97140

Mailing address

20015 SW Pacific Hwy
Suite 221
Sherwood, OR 97140
Phone (503) 625-2848

Other identifiers 1

IdentifierTypeStateIssuer
287118MedicaidOR

National Provider Directory

National Provider Directory

Locations

20015 SW Pacific Hwy
Ste 221
Sherwood, OR 97140
Phone (503) 476-8900

20015 SW Pacific Hwy
Ste 300
Sherwood, OR 97140
Phone (503) 625-2848

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1437328903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20015 SW PACIFIC HWY",
            "address_2": "SUITE 221",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "97140",
            "telephone_number": "503-625-2848",
            "fax_number": "503-625-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20015 SW PACIFIC HWY",
            "address_2": "SUITE 221",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "97140",
            "telephone_number": "503-625-2848",
            "fax_number": "503-625-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-515-6269",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "MD23583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287118",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.