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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.

Location: 1750 Mcgilchrist St Se Ste 130, Salem, OR, 97303-7550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Salem
State
Oregon
Zip
97302-1691
Phone Number
971-304-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1750 Mcgilchrist St Se Ste 130
City
Salem
State
Oregon
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
164W00000X
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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