Individual
NANCY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1040 NW 22ND AVE, SUITE 520, PORTLAND, OR 97210-3057
(503) 413-7556
(503) 413-6547
Mailing address
1040 NW 22ND AVE, SUITE 520, PORTLAND, OR 97210-3097
(503) 413-7556
(503) 413-6547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60187
OR
225100000X
Physical Therapist
PT12501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60187
OREGON PHYSICAL THERAPY LICENSE
OR
Enumeration date
10/25/2006
Last updated
01/03/2014
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