Maura D. Sullivan is a Clinical in Portland, Oregon. Maura D. Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maura D. Sullivan is 1639110273. The last update date is 2020-06-29.
Maura D. Sullivan's current location address is 25 Ne 47th Ave, Portland, Oregon. You can contact this provider via phone number 6036168488. The mailing address for Maura D. Sullivan is 25 Ne 47th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maura D. Sullivan |
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Address | 25 Ne 47th Ave, Portland, Oregon |
Phone Number | 6036168488 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1639110273 |
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Provider Enumeration Date | 2006-06-08 |
Last Updated Date | 2020-06-29 |
Provider Mailing Address Detail
Address | 25 Ne 47th Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972132316 |
Phone Number | 6036168488 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 1012 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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30425095 | NH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Maura D. Sullivan by the Centers for Medicare & Medicaid Services?
The Maura D. Sullivan has been issued the NPI (National Provider Identifier) 1639110273. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Maura D. Sullivan?
The Maura D. Sullivan is physically situated at 25 Ne 47Th Ave, in the city of Portland, state of OR, with the postal code 972132316.
What is Maura D. Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maura D. Sullivan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Maura D. Sullivan receive its 1639110273?
The Maura D. Sullivan was issued its 1639110273 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Maura D. Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maura D. Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY