IndividualActive
Marilee Sullivan, RDH/EPDH
NPI 1295002129 · Dental Hygienist · Aurora, OR
Provider details
- NPI number
- 1295002129
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH/EPDH
- Sex
- Female
- Sole proprietor
- Yes
- License
- H0550 (OR)
Specialties & taxonomies
Dental Providers
Practice location
21186 Sayre Drive
Aurora, OR 97002
Phone: (503) 984-2860
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34
Aurora, OR 97002-0034
Registry dates
- Enumerated
- 2011-11-21
- Last updated
- 2011-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.