Individual provider · Type 1 NPI

Colleen Blair Sullivan

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1003241613 Active

Practice location

9706 4th Ave NE Ste 303, Northgate
Seattle, WA 98115-2199

Call (206) 302-2900 Map

Fax (206) 302-2210

Mailing address

1600 E Olive St, Sound Mental Health
Seattle, WA 98122-2735

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003241613

Colleen Blair Sullivan's National Provider Identifier is 1003241613, issued on Sep 13, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Sep 13, 2013.