Jairo Emanuel Sun

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

180 Atwater St N
Monmouth, OR 97361-1801

Phone

(503) 421-7270

NPI assigned

May 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1679219067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 PEPPERIDGE CT",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971168649",
            "telephone_number": "503-421-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ATWATER ST N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611801",
            "telephone_number": "503-421-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Edgewater St NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973044049",
            "country_code": "US",
            "telephone_number": "503-421-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "JAIRO",
        "middle_name": "EMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "medicaltranslator",
            "affiliation": "N",
            "endpointDescription": "medicaltranslator1",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 Atwater St N",
            "city": "Monmouth",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973611801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phillip Edwin Segura Jr.
• John David Shurtz, D.D.S.
• Christopher McCarthy Silva, FNP-C
• Wesley Stoecker
• Thomas Wayne Stutzman
• Corrine Esther Symolon
• John Frederick Taylor, PH.D.
• Chloe Sophia Tompkins
• Valor Wellness LLC
• Hannah Teresa Voetberg, LCSW

• Community Health Worker in Monmouth, OR
• Providers in Monmouth, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.