Organization
GOOD NEWS CHIROPRACTIC, INC,
Active
Other names
Dennis R Sullivan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R SULLIVAN D.C. (PRESIDENT / OWNER)
(503) 771-1010
Entity
Organization
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061924
—
OR
Enumeration date
10/31/2005
Last updated
04/12/2011
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