ANNA VICTORIA SULLIVAN

PORTLAND, OR
NPI1598416471
Professional NameANNA VICTORIA HERMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHPC-001530)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  25-01-20524)
Enumeration Date2022-01-12
Last Update Date2026-06-05
Business Address
ANNA VICTORIA SULLIVAN
4943 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211-3511
Phone number: 971-292-1960
Mailing Address
ANNA VICTORIA SULLIVAN
1305 SE 87TH AVE
PORTLAND, OR 97216-1801
Phone number: 509-212-8256