Lisa C. Sullivan is a Pediatrics in Portland, Oregon. Lisa C. Sullivan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa C. Sullivan is 1841380375. The last update date is 2019-06-27.
Lisa C. Sullivan's current location address is 421 Sw Oak St, Portland, Oregon. You can contact this provider via phone number 5039887468 and fax number 5039887468. The mailing address for Lisa C. Sullivan is 421 Sw Oak St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa C. Sullivan |
|---|---|
| Address | 421 Sw Oak St, Portland, Oregon |
| Phone Number | 5039887468 |
| Fax Number | 5039887468 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1841380375 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2019-06-27 |
Provider Mailing Address Detail
| Address | 421 Sw Oak St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972041817 |
| Phone Number | 5039887468 |
| Fax Number | 5039887468 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD24619 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96511 | OR | -- | |
| 240558 | OR | -- | |
| 22959 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa C. Sullivan by the Centers for Medicare & Medicaid Services?
The Lisa C. Sullivan has been assigned the NPI (National Provider Identifier) 1841380375 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Lisa C. Sullivan's facilities are geographically located?
The facilities of Lisa C. Sullivan are physically situated at the following location: 421 Sw Oak St, Portland, OR, 972041817.
What is Lisa C. Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa C. Sullivan's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date was the 1841380375 assigned to Lisa C. Sullivan?
The Lisa C. Sullivan was issued its 1841380375 on 2006-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lisa C. Sullivan's details last updated?
The information pertaining to the Lisa C. Sullivan, including its address, specialty, and other details, was most recently updated on 2019-06-27.
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