Sullivan, Joanna Kathleen

Sullivan, Joanna Kathleen is an individual health care provider with primary practice located at 9340 Sw Barnes Rd Suite 102, Portland OR 97225-6623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sullivan, Joanna Kathleen can be contacted via phone (503) 215-2807.

Contact Information

Primary practice address
9340 Sw Barnes Rd Suite 102 Portland OR 97225-6623
Phone: (503) 215-2807
Fax: (503) 215-2814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201042058RN Oregon

Profile Details

NPI number 1275849994
LBN Legal business name Sullivan, Joanna Kathleen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2010
Last updated Oct 19th, 2020 - about 6 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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