Kelsey Grace Sullivan in Portland - Medical
Kelsey Grace Sullivan - NPI 1518153543
Kelsey Grace Sullivan is a Medical in Portland, Oregon. Kelsey Grace Sullivan practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelsey Grace Sullivan is 1518153543. The last update date is 2007-09-24.
Kelsey Grace Sullivan's current location address is 5337 Ne 33rd Ave, Portland, Oregon. You can contact this provider via phone number 5037307636. The mailing address for Kelsey Grace Sullivan is 5337 Ne 33rd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelsey Grace Sullivan |
|---|---|
| Address | 5337 Ne 33rd Ave, Portland, Oregon |
| Phone Number | 5037307636 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1518153543 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 5337 Ne 33rd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972117401 |
| Phone Number | 5037307636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelsey Grace Sullivan by the Centers for Medicare & Medicaid Services (CMS)?
The Kelsey Grace Sullivan has been assigned the NPI (National Provider Identifier) 1518153543. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kelsey Grace Sullivan's physical address?
The Kelsey Grace Sullivan is physically located at 5337 Ne 33Rd Ave, in the city of Portland, OR, with the postal code 972117401.
What is Kelsey Grace Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelsey Grace Sullivan's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When was the Kelsey Grace Sullivan's 1518153543 issued?
The Kelsey Grace Sullivan's 1518153543 was issued on 2007-09-24.
As of what date was the information regarding Kelsey Grace Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelsey Grace Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-24.
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