Individual
DR. DENNIS ROBERT SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3318 SE 156TH AVE, PORTLAND, OR 97236-2119
(503) 771-1010
(503) 771-5504
Mailing address
3318 SE 156TH AVE, PORTLAND, OR 97236-2119
(503) 771-1010
(503) 771-5504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272867
OR
Other
Enumeration date
10/31/2007
Last updated
04/14/2011
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