Sullivan, Kelly
Sullivan, Kelly is an sole proprietor health care provider with primary practice located at 10883 Se Main St Ste. 204, Milwaukie OR 97222-7641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Kelly can be contacted via phone (503) 381-2422.Contact Information
Primary practice address
10883 Se Main St Ste. 204
Milwaukie OR 97222-7641
Phone: (503) 381-2422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4631 | Oregon |
Profile Details
| NPI number | 1457645434 |
|---|---|
| LBN Legal business name | Sullivan, Kelly |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jan 30th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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