CARISSA SULLIVAN

PORTLAND, OR
NPI1841699238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-08-21
Last Update Date2014-08-21
Business Address
-- CARISSA SULLIVAN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-693-3104
Mailing Address
-- CARISSA SULLIVAN
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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