SUNSET MEDICAL SPA LLC NPI 1275388209

NPI Information

  • NPI: 1275388209
  • Provider Name: SUNSET MEDICAL SPA LLC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Organization
  • Address: 17200 NW CORRIDOR CT STE 105
    BEAVERTON, OR
    ZIP 97006
  • Phone: (503) 617-6995

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NPI Details

SUNSET MEDICAL SPA LLC is an acute care nurse practitioner in Beaverton, OR. SUNSET MEDICAL SPA LLC NPI is 1275388209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17200 NW CORRIDOR CT STE 105
BEAVERTON, OR
ZIP 97006-295
Phone: (503) 617-6995

The provider's authorized official is Jamie Cochran .
The authorized official title is Medical Director and has the following contact phone number (503) 617-6995.

The enumeration date for this NPI number is 4/22/2024 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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