Individual
SAMUEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 MCGILCHRIST ST SE STE 130, SALEM, OR 97302-1691
(971) 304-2200
Mailing address
1332 LYDIA AVE N, KEIZER, OR 97303-7550
(516) 860-7294
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202007792LPN
OR
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us