United Medical Group, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

952793-95 Issued in OR

Legal business name

UNITED MEDICAL GROUP, PC

Doing business as

United Urgent Care And Family Medicine

Practice address

9975 SW Frewing St
Suite 110
Tigard, OR 97223-5091

Phone

(503) 788-6483

Fax

(503) 772-7914

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Maria L Sullivan

Title

Clinic Manager

Phone

(503) 788-6483

Specialties & licenses 2

Addresses

Other names 1

• United Urgent Care And Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1669805388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 SW FREWING ST",
            "address_2": "SUITE 110",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235091",
            "telephone_number": "503-788-6483",
            "fax_number": "503-772-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 SW FREWING ST",
            "address_2": "SUITE 110",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235091",
            "telephone_number": "503-788-6483",
            "fax_number": "503-772-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-788-6483"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "952793-95",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "952793-95",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Urgent Care And Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiana Tynes
• Tyrone Wei, D.C., D.a.C.B.R., L.L.C
• Heidi Lynn Tyson, OTR/L
• Madelyn Ueland, M.S. CCC-SLP
• Lucia Ullauri
• Christina Marie Unteanu
• Uptown Providers PC (AFC Urgent Care)
• Lori Urioste
• Chidozie Kenneth Urom
• Maximilian Wolfgang Usman

• Primary Care Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.