Individual
DR. AOIFE O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9555 SW BARNES RD STE 255, PORTLAND, OR 97225-6654
(503) 908-1590
(503) 723-2862
Mailing address
2954 NE 50TH AVE, PORTLAND, OR 97213-2402
(410) 409-6574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD174903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413344700
—
MD
05
—
451601000
—
MD
01
—
613LR353
MEDICARE
MD
01
—
P00433444
RAILROAD
MD
Enumeration date
02/15/2007
Last updated
08/11/2023
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