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SUNSET MEDICAL SPA LLC
NPI 1275388209
Nurse Practitioner - Acute Care in Beaverton, OR

Active since April 22, 2024
17200 NW CORRIDOR CT STE 105, BEAVERTON, OR 97006(503) 617-6995 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunset Medical Spa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNSET MEDICAL SPA LLC (NPI 1275388209), doing business as Sunset Med Spa, is a healthcare organization registered as an acute care in Beaverton, Oregon and active in the NPI registry since April 2024. The organization lists Jamie Cochran, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275388209
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameSUNSET MEDICAL SPA LLC
Location Address17200 NW CORRIDOR CT STE 105Beaverton, OR 97006-3295
Mailing Address17200 Nw Corridor Ct Ste 105Beaverton, OR 97006-3295 · (503) 617-6995
Phone(503) 617-6995
Organization SubpartNo
Authorized OfficialJamie CochranMedical Director · (503) 617-6995
Enumeration DateApril 22, 2024
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1275388209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
17200 NW CORRIDOR CT STE 105, Beaverton, OR 97006
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Other Names 1

Doing Business AsSunset Med Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunset Medical Spa LLC's NPI number?

The NPI number for Sunset Medical Spa LLC is 1275388209. It was assigned to this organization in the NPPES registry on April 22, 2024. The provider is doing business as Sunset Med Spa.

Where is Sunset Medical Spa LLC located?

Sunset Medical Spa LLC is located at 17200 NW Corridor Ct Ste 105, Beaverton, OR 97006. The listed phone number is (503) 617-6995.

What is Sunset Medical Spa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Sunset Medical Spa LLC was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.