Search › Oregon › 183500000X
Charles Sullivan
NPI 1801190194 · on the registry since 2010
Practice
- Address
- 230 E Johnson Ave
Coos Bay, OR 97420 - Phone
- (541) 267-1709
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-31
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