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Ms. Brenda Jean Sullivan
Peer Specialist in Hillsboro, Oregon
NPI 1164813929

Brenda Jean Sullivan is a Peer Specialist based in Tigard, OR. Brenda Jean Sullivan practices in Hillsboro, OR. The NPI Number for Brenda Jean Sullivan is 1164813929 and holds a License No. (Oregon).

The current practice location address for Brenda Jean Sullivan is 720 Se Washington St, Hillsboro, OR and can be reached out via phone at 503-648-0753. You can also correspond with Brenda Jean Sullivan through the mailing address at 8915 SW CENTER ST, TIGARD, OR - 97223-6307 (mailing address contact number: 503-726-3690).

Location: 720 Se Washington St, Hillsboro, OR, 97223-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164813929
Provider Name
Brenda Jean Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 Se Washington St, Hillsboro, OR, 97223-6307
Phone Number
503-648-0753
Fax Number
Provider Enumeration Date
02/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Se Washington St
City
Hillsboro
State
Oregon
Zip
97123-4230
Phone Number
503-648-0753
Fax Number
person
Provider Business Mailing Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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