Patricia Anne Sullivan in Portland - Dentist
Patricia Anne Sullivan - NPI 1871556472
Patricia Anne Sullivan is a Dentist in Portland, Oregon. Patricia Anne Sullivan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Patricia Anne Sullivan is 1871556472. The last update date is 2007-07-08.
Patricia Anne Sullivan's current location address is 6274 Sw Capitol Hwy, Portland, Oregon. You can contact this provider via phone number 5032453656. The mailing address for Patricia Anne Sullivan is 6274 Sw Capitol Hwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Anne Sullivan |
|---|---|
| Address | 6274 Sw Capitol Hwy, Portland, Oregon |
| Phone Number | 5032453656 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1871556472 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6274 Sw Capitol Hwy |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392674 |
| Phone Number | 5032453656 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D6652 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Patricia Anne Sullivan by the Centers for Medicare & Medicaid Services?
The Patricia Anne Sullivan has been assigned the NPI (National Provider Identifier) 1871556472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Patricia Anne Sullivan's physical address?
The Patricia Anne Sullivan is physically located at 6274 Sw Capitol Hwy, in the city of Portland, OR, with the postal code 972392674.
What is Patricia Anne Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Anne Sullivan's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Patricia Anne Sullivan receive its 1871556472?
The Patricia Anne Sullivan was issued its 1871556472 on 2006-04-07, which is the date when the organization was assigned this unique identifier.
When was the information related to Patricia Anne Sullivan most recently updated or refreshed?
The details pertaining to the Patricia Anne Sullivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.