Sunset Family Practice Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUNSET FAMILY PRACTICE GROUP PC

Practice address

12400 NW Cornell Rd
Portland, OR 97229-5616

Phone

(503) 626-0939

Fax

(503) 626-6161

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vic Krisciunas, MD

Title

Lead Physician

Phone

(503) 626-0939

Specialties & licenses 2

Addresses

Other identifiers 11

Locations

Practitioners 1

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

• Robert Pentz Barlow, MD

  • Family Medicine Physician
  • Beaverton, OR
  • NPI 1902842081
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1568408680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 NW CORNELL RD",
            "address_2": "P.O. BOX 2767",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295616",
            "telephone_number": "503-626-0939",
            "fax_number": "503-626-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295616",
            "telephone_number": "503-626-0939",
            "fax_number": "503-626-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET FAMILY PRACTICE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "KRISCIUNAS",
        "authorized_official_first_name": "VIC",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "503-626-0939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "141978",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508809781",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "38D0621672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "11896",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437190741",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DOWCQKWB",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912014317",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841236924",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891736104",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DOWCQKWC",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R00WCQKWD",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunny Sky Counseling, LLC
• Sunrise Counseling
• Sunrise Home Care LLC
• Jocelynn Sunrise, LMT
• Frances Ann Sunseri, D.M.D.
• Sunset Neurology Associates, LLC
• Sunset Pediatrics, LLC
• Sunset Psychological & Counseling Services, LLC
• Sunset Surgical Centre LLC
• Sunshine Ahc

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.