Samuel Sullivan is a licensed practical nurse in Salem, OR. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Samuel Sullivan NPI is 1730775495. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1750 MCGILCHRIST ST SE STE 130
SALEM, OR
ZIP 97302-691
Phone: (971) 304-2200
The enumeration date for this NPI number is 12/16/2020 and was last updated on 12/16/2020.