Most Relevant Information
Provider Data
| NPI Number: | 1003599929 |
| Provider Name: | EMILY PAIGE SULLIVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2023 |
| Last Updated: | 08/08/2023 |
Provider Practice Location
447 SE BASELINE ST
HILLSBORO
OR
971234103
Practice Location Phone/Fax
| Phone: | 5036404222 |
| Fax: |
Provider Mailing Location
622 SW 9TH AVE APT 3B
PORTLAND
OR
972052731
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |