| NPI | 1275388209 |
|---|---|
| Doing Business As | SUNSET MED SPA |
| Entity Type | Organization |
| Authorized Contact | JAMIE COCHRAN Medical Director 503-617-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-25 |