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Dr. Fred Richard Sullivan JR., MD
Hematology (Internal Medicine) Physician in Portland, Oregon
NPI 1306852801

Fred Richard Sullivan JR. is a Hematology (Internal Medicine) Physician based in Portland, OR and is specialized in Hematology. Fred Richard Sullivan JR. practices in Portland, OR and has the professional credentials of MD. The NPI Number for Fred Richard Sullivan JR. is 1306852801 and holds a License No. MD24620 (Oregon).

The current practice location address for Fred Richard Sullivan JR. is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-6594.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1306852801
Provider Name
Fred Richard Sullivan JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-6594
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227500 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6594
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6594
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology
Taxonomy
License No.
MD24620 (Oregon)
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
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