Individual
PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 FINNEGAN WAY, BELLINGHAM, WA 98225-6622
(360) 527-9566
Mailing address
2131 NE 102ND ST, SEATTLE, WA 98125-7631
(712) 579-8763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60651946
WA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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