Provider Demographics
NPI:1942699301
Name:YAP, SUNSHINE LUZANO (COTA/L)
Entity Type:Individual
Prefix:
First Name:SUNSHINE
Middle Name:LUZANO
Last Name:YAP
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:SUNSHINE
Other - Middle Name:PO
Other - Last Name:LUZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4560 SE INTERNATIONAL WAY
Mailing Address - Street 2:STE. 100
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:971-206-5200
Mailing Address - Fax:971-206-5203
Practice Address - Street 1:23600 MARINE VIEW DR. S.
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198
Practice Address - Country:US
Practice Address - Phone:206-824-4000
Practice Address - Fax:971-206-5203
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC60486718224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant