Organization Active NPI

Sherwood Urgent Care & Medical Center

  • Primary Care Clinic/Center
  • King City, OR
National Provider Identifier
1710036280
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
261QP2300X Issued in OR
Legal business name
SHERWOOD URGENT CARE & MEDICAL CENTER
Practice address
11820 SW King James PL #30
King City, OR 97224-2481
Phone
(503) 625-4100
Fax
(971) 245-6276
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mrs. Andrea M. Volk, CLINIC MANAGER
Title
Clinic Manager
Phone
(503) 625-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 261QP2300X OR Primary
Urgent Care Clinic/Center 261QU0200X 261QU0200X OR

Addresses

Primary practice location

11820 SW King James PL #30
King City, OR 97224-2481

Mailing address

11820 SW King James PL Suite #30
King City, OR 97224-2481
Phone (503) 625-4100

Other names 1

  • Urgent Care & Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

11820 SW King James Pl
Ste 30
King City, OR 97224
Phone (503) 625-4100

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1710036280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL SUITE #30",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242481",
            "telephone_number": "503-625-4100",
            "fax_number": "971-245-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL #30",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242481",
            "telephone_number": "503-625-4100",
            "fax_number": "971-245-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD URGENT CARE & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-625-4100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLINIC MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "261QP2300X",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "261QU0200X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.