Sunset Family Practice Group Pc
LBN: Sunset Family Practice Group Pc
Sunset Family Practice Group Pc is an health care organization with primary practice located at 12400 Nw Cornell Rd , Portland OR 97229-5616. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Sunset Family Practice Group Pc can be contacted via phone (503) 626-0939, or through Krisciunas, Vic via phone (503) 626-0939.
Contact Information
Primary practice address
12400 Nw Cornell Rd
Portland OR 97229-5616
Phone: (503) 626-0939
Fax: (503) 626-6161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1568408680 |
|---|---|
| LBN Legal business name | Sunset Family Practice Group Pc |
| DBA Doing business as | |
| Authorized official | Krisciunas, Vic Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jul 27th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568408680 | NPPES |
| Oregon | Other | 141978 | PTAN |
| Oregon | Other | 1508809781 | PTAN |
| Oregon | Other | 38D0621672 | PTAN |
| Oregon | Other | 11896 | PTAN |
| Oregon | Other | 1437190741 | PTAN |
| Oregon | Other | DOWCQKWB | PTAN |
| Oregon | Other | 1912014317 | PTAN |
| Oregon | Other | 1841236924 | PTAN |
| Oregon | Other | 1891736104 | PTAN |
| Oregon | Other | DOWCQKWC | PTAN |
| Oregon | Other | R00WCQKWD | PTAN |
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