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1497797435
MICHAEL SULLIVAN
PORTLAND, OR
NPI
1497797435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 11227)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL SULLIVAN Ph.D.
3710 SW US VETERANS HOSPITAL RD P5AUD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Dr. MICHAEL SULLIVAN Ph.D.
2412 NE 30TH AVE
PORTLAND, OR 97212-4922
Phone number:
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