Active NPI
Sherwood Urgent Care & Medical Center
- Primary Care Clinic/Center
- King City, OR
National Provider Identifier
1710036280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 261QP2300X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.