Individual
LI P SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6687
(503) 494-1717
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6687
(503) 494-1717
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
202111087NP
OR
363LA2100X
Acute Care Nurse Practitioner
AP141169
TX
Other
Enumeration date
05/07/2019
Last updated
12/17/2021
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