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Samuel Sullivan
NPI 1730775495 · on the registry since 2020
Practice
- Address
- 1750 Mcgilchrist St Se Ste 130
Salem, OR 97302 - Phone
- (971) 304-2200
- Organisation at this address
- Portland Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-16
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