Organization Active NPI

One-Stop Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Beaverton, OR
National Provider Identifier
1982008025
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD22901 Issued in OR
Legal business name
ONE-STOP URGENT CARE, LLC
Practice address
17600 SW Alexander St
Beaverton, OR 97003-4411
Phone
(503) 848-9110
Fax
(503) 591-9122
NPI assigned
Oct 17, 2014
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Dr. Kelly Leaf, MDNPI 1023071016
Title
Owner
Phone
(503) 848-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD22901 OR Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

17600 SW Alexander St
Beaverton, OR 97003-4411

Mailing address

17600 SW Alexander St
Beaverton, OR 97003-4411
Phone (503) 848-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150708001923 OR Part B Supplier - Clinic/Group Practice 8628380441 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2101059One-Stop Urgent Care17600 SW Alexander St, Beaverton, OR 97003Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1982008025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 SW ALEXANDER ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034411",
            "telephone_number": "503-848-9110",
            "fax_number": "503-591-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 SW ALEXANDER ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034411",
            "telephone_number": "503-848-9110",
            "fax_number": "503-591-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE-STOP URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "LEAF",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-848-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "MD22901",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.