Organization Active NPI

Sunset Neurology Associates, LLC

  • Specialist
  • Portland, OR
National Provider Identifier
1659651131
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD25141 Issued in OR
Legal business name
SUNSET NEUROLOGY ASSOCIATES, LLC
Practice address
9155 SW Barnes Rd
Suite 531
Portland, OR 97225-6625
Phone
(503) 935-7890
NPI assigned
Aug 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Authorized official

Name
Dr. Ruxandra M. Costa Corpaciu, M.D.
Title
Owner/ Solo Proprieter
Phone
(503) 935-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD25141 OR Primary

Addresses

Primary practice location

9155 SW Barnes Rd
Suite 531
Portland, OR 97225-6625

Mailing address

9155 SW Barnes Rd
Suite 531
Portland, OR 97225-6625
Phone (503) 935-7890

National Provider Directory

National Provider Directory

Locations

2604 Clover St
Klamath Falls, OR 97601
Phone (503) 894-8122

9155 SW Barnes Rd
Ste 531
Portland, OR 97225
Phone (503) 291-1422

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": "1314489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314489600000",
    "number": "1659651131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 531",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-935-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 531",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-935-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET NEUROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-28",
        "last_updated": "2011-08-28",
        "status": "A",
        "authorized_official_last_name": "COSTA CORPACIU",
        "authorized_official_first_name": "RUXANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/ SOLO PROPRIETER",
        "authorized_official_telephone_number": "503-935-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD25141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2011; 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.