DR. FRED SULLIVAN JR., MD
Internal Medicine - Hematology
Active
Individual
NPI: 1306852801
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Hematology | 207RH0000X | Yes | MD24620 (OR) |
Frequently Asked Questions
NPI 1306852801 is the National Provider Identifier for DR. FRED SULLIVAN JR., MD, a Internal Medicine - Hematology provider located in Portland, OR. This NPI was enumerated on August 1, 2006.
DR. FRED SULLIVAN JR., MD practices at 3181 SW SAM JACKSON PARK RD, Portland, OR 97239.
Quick Facts
- NPI
- 1306852801
- Type
- Individual
- Enumerated
- Aug 1, 2006
- Last Updated
- Jul 16, 2007
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