Organization Active NPI

Sunbeam Center

  • Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1265248058
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.