MR. RICHARD JOHN SULLIVAN (NPI# 1568695864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568695864 |
| Entity Type | Individual |
| Full Name | MR. RICHARD JOHN SULLIVAN |
| Credential | LMT |
| Practice Address |
3524 Se Stark St Portland OR 97214-3154 |
| Practice Telephone | 5034215172 |
| Mailing Telephone | 5034215172 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 6049 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985479 | Richard A Sullivan | Counselor | 26 Viden Rd, Quincy, MA 02169-7907 | 2014-01-10 |
| 1467676700 | Richard Hugh Sullivan | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2007-04-11 |
| 1841325461 | Richard James Sullivan | Contractor | 2155 Ne 187th St, North Miami Beach, FL 33179-4311 | 2007-02-22 |
| 1275607624 | Richard Joseph Sullivan | Internal Medicine | 7904 Turin Rd, Rome, NY 13440-1933 | 2006-11-20 |
| 1023127651 | Richard Michael Sullivan | Social Worker | 410 Gidney Ave Stop 3, Newburgh, NY 12550-3764 | 2006-08-29 |
| 1528075785 | Richard Sullivan | Pharmacist | 863 W Foothill Blvd, Claremont, CA 91711-3302 | 2006-08-01 |
| 1588694434 | Richard M Sullivan | Social Worker | 5420 Shimerville Rd, Clarence, NY 14031-1118 | 2006-07-04 |
| 1821567611 | Richard Sullivan | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1285014993 | Richard Hugh Sullivan Iv | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2015-06-08 |
| 1407272529 | Richard Henry Sullivan IIi | Physician Assistant | 3400 Old Milton Pkwy Ste 190, Alpharetta, GA 30005-3707 | 2014-03-13 |
| Street Address |
3524 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917508 | Gregory M Mitchell | Massage Therapist | 3524 Se Stark St, Portland, OR 97214-3154 | 2012-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| Find all providers in PORTLAND | ||||
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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.