person
Samuel Sullivan
Licensed Practical Nurse in Salem, Oregon
NPI 1730775495

Samuel Sullivan is a Licensed Practical Nurse based in Keizer, OR. Samuel Sullivan practices in Salem, OR. The NPI Number for Samuel Sullivan is 1730775495 and holds a License No. 202007792LPN (Oregon).

The current practice location address for Samuel Sullivan is 1750 Mcgilchrist St Se Ste 130, Salem, OR and can be reached out via phone at 971-304-2200. You can also correspond with Samuel Sullivan through the mailing address at 1332 LYDIA AVE N, KEIZER, OR - 97303-7550 (mailing address contact number: 516-860-7294).

Location: 1750 Mcgilchrist St Se Ste 130, Salem, OR, 97303-7550
person
Provider Profile Details
NPI Number
1730775495
Provider Name
Samuel Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1750 Mcgilchrist St Se Ste 130, Salem, OR, 97303-7550
Phone Number
971-304-2200
Fax Number
Provider Enumeration Date
12/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1750 Mcgilchrist St Se Ste 130
City
State
Zip
97302-1691
Phone Number
971-304-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1750 Mcgilchrist St Se Ste 130
City
State
Zip
97302-1691
Phone Number
971-304-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
202007792LPN (Oregon)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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