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1245333640
MICHELE KATHLEEN SULLIVAN
PORTLAND, OR
NPI
1245333640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4199)
Enumeration Date
2006-09-07
Last Update Date
2020-04-03
Business Address
Ms. MICHELE KATHLEEN SULLIVAN MPT
3303 SW BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-3151
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Mailing Address
Ms. MICHELE KATHLEEN SULLIVAN MPT
4541 SW FAIRHAVEN DR
PORTLAND, OR 97221-2609
Phone number: 503-525-8457
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