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Individual

SEAN L SWEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
501 N GRAHAM ST STE 265, PORTLAND, OR 97227-2000
(503) 282-7002
Mailing address
501 N GRAHAM ST STE 265, PORTLAND, OR 97227-2000
(503) 282-7002

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2003025745
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
DO28114
OR
2080N0001X
Neonatal-Perinatal Medicine Physician
OP00002323
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2003025745
MO LICENSE
MO
Enumeration date
05/02/2006
Last updated
12/21/2012
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