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Organization
DENNIS MICHAEL SULLIVAN, D.C.
Active
Organization
DENNIS MICHAEL SULLIVAN, D.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M. SULLIVAN D.C. (OWNER)
(503) 709-8946
Entity
Organization
Contact information
Practice address
2305 SE WASHINGTON ST STE 109, MILWAUKIE, OR 97222-7647
(503) 709-8946
(503) 659-4445
Mailing address
2305 SE WASHINGTON ST STE 109, MILWAUKIE, OR 97222-7647
(503) 709-8946
(503) 659-4445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-2247
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073552873
NPI TYPE 1
—
Enumeration date
01/13/2012
Last updated
01/13/2012
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