SearchOregonLicensed Practical Nurse

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