Individual
EMILY PAIGE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 SE BASELINE ST, HILLSBORO, OR 97123-4103
(503) 640-4222
Mailing address
622 SW 9TH AVE APT 3B, PORTLAND, OR 97205-2731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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