Search › Oregon › 171M00000X
Autumn Sullivan, LMT
NPI 1790187854 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1553 11th St
West Linn, OR 97068 - Phone
- (503) 816-0329
- Organisation at this address
- A Sight For Sport Eyes
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-08
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