MICHAEL SULLIVAN

BEND, OR
NPI1376243402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C6081)
Enumeration Date2023-03-07
Last Update Date2025-07-22
Business Address
MICHAEL SULLIVAN
164 NW HAWTHORNE AVE
BEND, OR 97703-2918
Phone number: 802-595-9090
Mailing Address
MICHAEL SULLIVAN
164 NW HAWTHORNE AVE
BEND, OR 97703-2918
Phone number:
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