Organization
SUNBEAM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHENAEL HAILEGIORG HAILEGIORGIS (PROGRAM MANAGER)
(971) 255-2773
Entity
Organization
Contact information
Practice address
330 1ST ST APT 479, LAKE OSWEGO, OR 97034-3293
(971) 255-2773
Mailing address
330 1ST ST APT 479, LAKE OSWEGO, OR 97034-3293
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
03/29/2025
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