Individual
CARMEN SULLINALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 SE 12TH AVE, PORTLAND, OR 97214-1342
(503) 546-9975
(503) 546-9976
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 200-3923
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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