Sorrento Construction, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

6884 Issued in OR

Legal business name

SORRENTO CONSTRUCTION, INC

Practice address

1345 SW 158TH Ave
Beaverton, OR 97006-6037

Phone

(503) 643-9629

Fax

(503) 643-9615

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Phillip J Rengel

Title

Owner

Phone

(503) 643-9629

Specialties & licenses 1

Addresses

Other names 1

• Oregon Re-Bath Doing business as

Locations

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1609177328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 SW 158TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066037",
            "telephone_number": "503-643-9629",
            "fax_number": "503-643-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 SW 158TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066037",
            "telephone_number": "503-643-9629",
            "fax_number": "503-643-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORRENTO CONSTRUCTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "RENGEL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-643-9629"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "6884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Re-Bath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.