Organization Active NPI

Your Care LLC

  • Urgent Care Clinic/Center
  • Redmond, OR
National Provider Identifier
1942548433
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
1546513-1 Issued in OR
Legal business name
YOUR CARE LLC
Practice address
3818 SW 21St PL
Redmond, OR 97756-6801
Phone
(541) 548-2899
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dr. Eric John Wattenburg, MD
Title
Owner
Phone
(541) 548-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 1546513-1 OR Primary

Addresses

Primary practice location

3818 SW 21St PL
Redmond, OR 97756-6801

Mailing address

PO Box 1870
Redmond, OR 97756-0541
Phone (541) 548-2899

National Provider Directory

National Provider Directory

Locations

3818 SW 21st St
Redmond, OR 97756
Phone (541) 548-2899

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1942548433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1870",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560541",
            "telephone_number": "541-548-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 SW 21ST PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566801",
            "telephone_number": "541-548-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WATTENBURG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-548-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "1546513-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.