AMANDA SULLIVAN

PORTLAND, OR
NPI1225973423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   L5524)
Enumeration Date2026-04-22
Last Update Date2026-04-22
Business Address
AMANDA SULLIVAN LCSW
4400 NE HALSEY ST
PORTLAND, OR 97213-1545
Phone number: 503-679-1670
Mailing Address
AMANDA SULLIVAN LCSW
4400 NE HALSEY ST
PORTLAND, OR 97213-1545
Phone number: 503-679-1670