JOSEPH P SULLIVAN

PORTLAND, OR
NPI1902604911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHA-R-5340)
Enumeration Date2025-03-05
Last Update Date2025-03-05
Business Address
JOSEPH P SULLIVAN QMHA-R
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 971-275-4097
Mailing Address
JOSEPH P SULLIVAN QMHA-R
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044