Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL SULLIVAN
ActiveSAMUEL SULLIVAN is a Licensed Practical Nurse healthcare provider located in SALEM, Oregon. NPI 1730775495 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SALEM, OR
Registration Details
- NPI Number
- 1730775495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2020 (5.6530550310403 yrs)
- Last Updated
- Dec 16, 2020
- License
-
202007792LPN (OR)
Practice Information
- Address
-
1750 MCGILCHRIST ST SE STE 130SALEM, OR, 973021691Browse OR providers · Browse ZIP 97302
- Phone
- 9713042200
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| NANCY SHORES | LPN | 1700069143 |
| REBECCA MARIE MEYERS | LPN | 1588800437 |
| SUSAN MAY MYERS | — | 1396981965 |
| MS. TRENA SUE SUTTON | LPN | 1932437050 |
| JUDITH A. MARCELLAIS | LPN | 1295065316 |
| JINGLE DIAZ SMITH | LPN | 1437493525 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.