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1881909836
JOSEPH ANDREW SULLIVAN
PORTLAND, OR
NPI
1881909836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-15
Last Update Date
2010-08-15
Business Address
MR. JOSEPH ANDREW SULLIVAN B.S
1500 NE IRVING ST
PORTLAND, OR 97232-2243
Phone number: 503-258-4200
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Mailing Address
MR. JOSEPH ANDREW SULLIVAN B.S
12042 SE REGAL CT
CLACKAMAS, OR 97015-9245
Phone number:
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