Sunset Medical Offices

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUNSET MEDICAL OFFICES

Practice address

17200 NW Corridor CT
Suite 105
Beaverton, OR 97006-3295

Phone

(503) 614-8400

Fax

(503) 614-8411

NPI assigned

Oct 12, 2009

Last updated

Oct 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Emami

Title

Member

Phone

(503) 614-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1639404411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 NW CORRIDOR CT",
            "address_2": "SUITE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063295",
            "telephone_number": "503-614-5400",
            "fax_number": "503-614-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 NW CORRIDOR CT",
            "address_2": "SUITE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063295",
            "telephone_number": "503-614-8400",
            "fax_number": "503-614-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET MEDICAL OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "EMAMI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-614-8400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Sunga, OTRL
• Sunny Wang Massage LLC
• Sunrise ABA of Oregon LLC
• Sunset Anesthesia Group, LLC
• Sunset Eye Clinic LLC
• Sunset Medical Spa LLC (Sunset Med Spa)
• Allison Rae Supnick, MSW
• Surafel RTH LLC
• Surgical Assistant Services, Inc.
• Susan Metcalfe LCSW LLC

• Family Medicine Physician in Beaverton, OR
• Providers in Beaverton, 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 Oct 12, 2009; 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.