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Contact Information

MARILEE J SULLIVAN, RDH/EPDH
21186 SAYRE DRIVE
AURORA, OR97002
 Phone: 503-984-2860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for MARILEE J SULLIVAN · (Female)

NPI Number 1295002129
Status Active
Credentials RDH/EPDH
Entity Individual
Enumeration date 11/21/2011
Last updated 11/21/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # H0550
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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