Active NPI
Sunbeam Center
- Clinic/Center
- Lake Oswego, OR
National Provider Identifier
1265248058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SUNBEAM CENTER
- Practice address
- 330 1St St Apt 479
Lake Oswego, OR 97034-3293 - Phone
- (971) 255-2773
- NPI assigned
- Dec 5, 2024
- Last updated
- Mar 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathenael Hailegiorg Hailegiorgis
- Title
- Program Manager
- Phone
- (971) 255-2773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
330 1St St Apt 479
Lake Oswego, OR 97034-3293
Mailing address
330 1St St Apt 479
Lake Oswego, OR 97034-3293
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Behavior Technician
- Oregon City, OR
- NPI 1720949902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743206400000",
"number": "1265248058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 1ST ST APT 479",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 1ST ST APT 479",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343293",
"telephone_number": "971-255-2773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNBEAM CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2025-03-29",
"certification_date": "2025-03-29",
"status": "A",
"authorized_official_last_name": "HAILEGIORGIS",
"authorized_official_first_name": "NATHENAEL HAILEGIORG",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "971-255-2773"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.