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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN SULLIVAN, LMT

Active Sole Proprietor

AUTUMN SULLIVAN, LMT is a Case Manager healthcare provider located in WEST LINN, Oregon. NPI 1790187854 is currently active in the NPPES registry. Verify at CMS.

Case Manager · WEST LINN, OR

Registration Details

NPI Number
1790187854
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2014 (11.880209275243 yrs)
Last Updated
Nov 8, 2023
License
10950 (OR)
Sole Proprietor
Yes

Practice Information

Address
1553 11TH ST
WEST LINN, OR, 970684636
Browse OR providers · Browse ZIP 97068
Phone
5038160329
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in WEST LINN, OR

Name Credential NPI
CHRISTOPHER WRIGHT 1083251359
KAREN KELLER 1851938120
AMANDA K RAMIREZ QMHA-R 1376230151
JESSICA L ERB QMHA-R 1124715917
JORGE LUIS PEREZ JR 1700565264
HEATHER SAM 1487432787
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.