Organization Active NPI

Sunrise Corporate Services, LLC

  • Family Medicine Physician
  • Happy Valley, OR
National Provider Identifier
1316460876
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNRISE CORPORATE SERVICES, LLC
Practice address
9300 SE 91St Ave Ste 201
Happy Valley, OR 97086-3762
Phone
(503) 387-7111
Fax
(503) 567-7706
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Inna Velychko, MDNPI 1609036771
Title
Manager
Phone
(503) 387-7111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9300 SE 91St Ave Ste 201
Happy Valley, OR 97086-3762

Mailing address

PO Box 226
Brush Prairie, WA 98606-0226
Phone (503) 387-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920003577 OR Part B Supplier - Clinic/Group Practice 1153695762 Receives reassigned benefits from 2 practitioners
Practice locations: Happy Valley, OR

National Provider Directory

National Provider Directory

Locations

9200 SE 91st Ave
Ste 201
Happy Valley, OR 97086

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1316460876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986060226",
            "telephone_number": "503-387-7111",
            "fax_number": "971-288-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 201",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-387-7111",
            "fax_number": "503-567-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CORPORATE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "VELYCHKO",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-387-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.