STEPHEN SULLIVAN

PORTLAND, OR
NPI1730920687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4065)
Enumeration Date2024-06-04
Last Update Date2024-06-04
Business Address
STEPHEN SULLIVAN
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
Mailing Address
STEPHEN SULLIVAN
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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