Dennis Michael Sullivan, D.C.
Chiropractor in Milwaukie, OR. Organization (NPI-2).
NPI number1710258397
StatusActive
Last updated in NPPESJan 13, 2012
Details
- NPI
- 1710258397
- Entity type
- Organization (NPI-2)
- Legal business name
- Dennis Michael Sullivan, D.C.
- Organization subpart
- No
- Enumeration date
- Jan 13, 2012
- Last updated
- Jan 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 27-2247 | OR | Yes |
Practice location
2305 Se Washington St Ste 109Milwaukie, OR 97222-7647
Phone 503-709-8946 · Fax 503-659-4445
Mailing address
2305 Se Washington St Ste 109Milwaukie, OR 97222-7647
Phone 503-709-8946 · Fax 503-659-4445
Authorized official
Dennis M. Sullivan
Owner
5037098946
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