Individual
EMILY ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACM, LAC
Contact information
Practice address
1835 SE 50TH AVE, PORTLAND, OR 97215-3235
(503) 894-9437
Mailing address
7643 SE ALDER ST, PORTLAND, OR 97215-2311
(775) 527-1683
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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