Samuel Sullivan
Samuel Sullivan is a Licensed Practical Nurse in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
1750 McGilchrist St SE Ste 130Salem, OR 97302-1691
Phone: (971) 304-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 202007792LPN (OR) |
|---|
Record details
| NPI number | 1730775495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 16, 2020 |
| Last updated in NPPES | December 16, 2020 |
| Certification date | December 16, 2020 |
| Mailing address | 1332 Lydia Ave N, Keizer, OR 97303-7550 |
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