Active NPI
Medexa LLC
- Urgent Care Clinic/Center
- Boring, OR
National Provider Identifier
1689570756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDEXA LLC
- Practice address
- 10625 SE 362ND Ave Unit B4
Boring, OR 97009-9741 - Phone
- (971) 314-2900
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- 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
- Ethan Parker
- Title
- Owner
- Phone
- (971) 314-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
10625 SE 362ND Ave Unit B4
Boring, OR 97009-9741
Mailing address
PO Box 840523
Pembroke Pines, FL 33084-2523
Phone (971) 314-2900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1689570756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840523",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330842523",
"telephone_number": "971-314-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 SE 362ND AVE UNIT B4",
"city": "BORING",
"state": "OR",
"postal_code": "970099741",
"telephone_number": "971-314-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "ETHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-314-2900"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boring, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.