PIPER H SULLIVAN (NPI# 1063822104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063822104 |
| Entity Type | Individual |
| Full Name | PIPER H SULLIVAN |
| Other Name | PIPER H BRADLEY |
| Credential | PA-C |
| Practice Address |
38505 Brooten Rd Ste A Pacific City OR 97135-8049 |
| Mailing Address |
1000 3rd St Tillamook OR 97141-3430 |
| Practice Telephone | 5039656555 |
| Practice Fax Number | 5039656800 |
| Mailing Telephone | 5038152260 |
| Mailing Fax Number | 5038423062 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA171929 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 Se Spokane St Ste 300, Portland, OR 972026487 | 5037148987 | 7200598044 |
| 8060 Sw Pfaffle St Ste 102, Tigard, OR 972238489 | 5037148987 | 7205980440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831248491 | Piper Sullivan | Counselor | 517 W Shenandoah St, Roseburg, OR 97471-2566 | 2007-01-10 |
| Street Address |
38505 BROOTEN RD STE A |
| City | PACIFIC CITY |
| State | OR |
| Zip Code | 97135-8049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912076001 | Grant R Williams | Dentist | 38505 Brooten Rd, Ste B, Pacific City, OR 97135 | 2006-11-06 |
| 1346228731 | Luke W Kohley | Physical Therapist | 38505 Brooten Rd Ste C, Pacific City, OR 97135 | 2006-01-05 |
| 1871591016 | Albert P. Thompson | Clinic/Center | 38505 Brooten Rd., Suite A, Pacific City, OR 97135 | 2005-07-12 |
| 1366587339 | Albert P Thompson | Family Medicine | 38505 Brooten Rd, Suite A, Pacific City, OR 97135 | 2007-02-20 |
| 1710022835 | Myra L Thompson | Nurse Practitioner | 38505 Brooten Rd, Suite A, Pacific City, OR 97135 | 2007-02-20 |
| 1942835616 | Julie Ann Krohn | Health Educator | 34600 Cape Kiwanda Dr, Pacific City, OR 97135-8020 | 2020-03-03 |
| 1174077267 | Elisabeth Vitale | Acupuncturist | 34950 Brooten Rd, Pacific City, OR 97135-8034 | 2016-08-07 |
| 1053620435 | Heidi Marian Manning | Acupuncturist | 35170 Brooten Rd, Pacific City, OR 97135-8036 | 2010-10-01 |
| 1144876533 | Janelle Stacy | Physical Therapist | 38505 Brooten Rd Ste C, Pacific City, OR 97135-8049 | 2019-08-13 |
| 1447725403 | Kerrin Deann Swanson | Registered Nurse | 38505 Brooten Rd, Pacific City, OR 97135-8049 | 2018-10-05 |
| Find all providers in zip 97135 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495569 | Lynsie Wolfe | Physician Assistant | 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 | 2020-10-22 |
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1639786411 | Bridget Meade-sentosun | Physician Assistant | 2599 Ne Overlook Dr Apt 815, Hillsboro, OR 97124-7613 | 2020-09-25 |
| 1518570738 | Samantha Larelle Williamson | Physician Assistant | 1551 2nd St, Umatilla, OR 97882-9707 | 2020-08-27 |
| 1356951891 | Eric James Humphrey | Physician Assistant | 1055 Ne Creeksedge Dr, Hillsboro, OR 97124-1316 | 2020-08-07 |
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1831712280 | Joshua Sprague | Physician Assistant | 6501 Ne Cherry Dr Apt 1112, Hillsboro, OR 97124-7711 | 2020-05-20 |
| 1376165134 | Emily Axelrod | Physician Assistant | 19648 Wildwood Dr, West Linn, OR 97068-2210 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC CITY |
| Zip Code | 97135 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.