Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479
Mailing address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
311571
OR
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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