JOSEPH ANDREW SULLIVAN

PORTLAND, OR
NPI1881909836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-08-15
Last Update Date2010-08-15
Business Address
Mr. JOSEPH ANDREW SULLIVAN B.S
1500 NE IRVING ST
PORTLAND, OR 97232-2243
Phone number: 503-258-4200
Mailing Address
Mr. JOSEPH ANDREW SULLIVAN B.S
12042 SE REGAL CT
CLACKAMAS, OR 97015-9245
Phone number: