# SUNSET MEDICAL SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunset Med Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275388209
- **Authorized official:** JAMIE COCHRAN MSN, FNP-C (MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 617-6995

## Contact information

- **Practice address:** 17200 NW CORRIDOR CT STE 105, BEAVERTON, OR 97006-3295
- **Practice address phone:** (503) 617-6995
- **Mailing address:** 17200 NW CORRIDOR CT STE 105, BEAVERTON, OR 97006-3295
- **Mailing address phone:** (503) 617-6995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/25/2024