| Samuel Sullivan, | |
|
1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 | |
| (971) 304-2200 | |
| Not Available |
| Full Name | Samuel Sullivan |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1750 Mcgilchrist St Se Ste 130, Salem, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730775495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 202007792LPN (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Sullivan, 1332 Lydia Ave N, Keizer, OR 97303-7550 Ph: (516) 860-7294 | Samuel Sullivan, 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 Ph: (971) 304-2200 |
Rebecca Marie Carr, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1160 Liberty St Se, Salem, OR 97302 Phone: 503-391-9762 Fax: 503-315-2019 | |
Megan Elizabeth Brown, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1160 Liberty St Se, Salem, OR 97302 Phone: 503-391-9761 | |
Nancy Lynn Campbell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1160 Liberty St Se, Salem, OR 97302 Phone: 503-391-9762 | |
Valentina Harold, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3871 Fairview Industrial Dr Se Ste 150, Salem, OR 97302 Phone: 503-391-9762 Fax: 503-315-2019 | |
Brianna Griffin, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3871 Fairview Industrial Dr Se, Salem, OR 97302 Phone: 503-391-9762 Fax: 503-315-2019 | |
Melissa Decarlo, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1160 Liberty St Se, Salem, OR 97302 Phone: 503-391-9762 Fax: 503-315-2019 | |
Stella Nai Phan, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3871 Fairview Industrial Dr Se, Suite 150, Salem, OR 97302 Phone: 503-391-9762 Fax: 503-315-2019 |