Organization
SUNSET MEDICAL SPA LLC
Active
Other names
Sunset Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE COCHRAN MSN, FNP-C (MEDICAL DIRECTOR)
(503) 617-6995
Entity
Organization
Contact information
Practice address
17200 NW CORRIDOR CT STE 105, BEAVERTON, OR 97006-3295
(503) 617-6995
Mailing address
17200 NW CORRIDOR CT STE 105, BEAVERTON, OR 97006-3295
(503) 617-6995
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/25/2024
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