Individual
KRYSTAL ROCHELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4532 SE 73RD AVE, PORTLAND, OR 97206-4445
(503) 270-0567
Mailing address
4532 SE 73RD AVE, PORTLAND, OR 97206-4445
(503) 270-0567
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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