Organization Active NPI

Conciergehealth, LLC

  • Urgent Care Clinic/Center
  • King City, OR
National Provider Identifier
1962628008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD25886 Issued in OR
Legal business name
CONCIERGEHEALTH, LLC
Practice address
11820 SW King James PL
Suite 30
King City, OR 97224-2480
Phone
(971) 226-2613
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dat Duc Tran, M.D.
Title
President
Phone
(971) 226-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD25886 OR Primary

Addresses

Primary practice location

11820 SW King James PL
Suite 30
King City, OR 97224-2480

Mailing address

15280 SW Wabler Way
102
Beaverton, OR 97007
Phone (971) 226-2613

Other names 1

  • 99W Urgent Care and Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962628008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 SW WABLER WAY",
            "address_2": "102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "971-226-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL",
            "address_2": "SUITE 30",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242480",
            "telephone_number": "971-226-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGEHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-226-2613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "MD25886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "99W Urgent Care and Health 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 Aug 22, 2020; 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.