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Organization

SUNRISE CORPORATE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INNA VELYCHKO MD (MANAGER)
(503) 387-7111
Entity
Organization

Contact information

Practice address
9300 SE 91ST AVE STE 201, HAPPY VALLEY, OR 97086-3762
(503) 387-7111
(503) 567-7706
Mailing address
PO BOX 226, BRUSH PRAIRIE, WA 98606-0226
(503) 387-7111
(971) 288-1045

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/17/2017
Last updated
11/13/2025
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