Search › Oregon › 1041C0700X
Kelly Sullivan, MSW, LCSW
NPI 1457645434 · on the registry since 2011 · sole proprietor
Practice
- Address
- 10883 Se Main St
Ste. 204
Milwaukie, OR 97222 - Phone
- (503) 381-2422
- Organisation at this address
- Protech Automotive Inc
Ashawlaway Counseling, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon