Maura Dugan Sullivan (NPI# 1639110273, PAC ID# 9133102460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1639110273 |
PAC ID by PECOS | 9133102460 |
Professional Enrollment ID | I20180910001726 |
Full Name | Maura Dugan Sullivan |
Address |
1430 Se Water Ave Suite 209 Portland OR 97214-4182 |
Phone Number | 6036168488 |
Gender | F |
Credential | CP |
Graduation Year | 2002 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1430 Se Water Ave, Suite 209, Portland, OR 97214-4182 | 6036168488 |
Street Address |
1430 SE WATER AVE SUITE 209 |
City | PORTLAND |
State | OR |
Zip | 97214-4182 |
Name | Specialty | Organization | Address |
---|---|---|---|
David W Gantz | Clinical Social Worker | 811 E Burnside St, Suite 217, Portland, OR 97214-1231 | |
Jeanne E Kennedy Crosby | Chiropractic | 975 Se Sandy Blvd, Suite 105, Portland, OR 97214-1308 | |
Jan S Alexander | Clinical Social Worker | 1210 Se Oak St, Suite 5, Portland, OR 97214-1427 | |
Steven K Odell | Clinical Social Worker | 1732 Se Ash St, Portland, OR 97214-1526 | |
Larry Walter Thornton-jones | Clinical Social Worker | Larry Thornton-jones Lcsw PC | 1732 Se Ash St, Portland, OR 97214-1526 |
Katharine A Gage | Nurse Practitioner | 2006 Se Ankeny St, Portland, OR 97214-1622 | |
Raymond A Capone | Chiropractic | Portland Chiropractic Group Inc | 2031 E Burnside St, Portland, OR 97214-1649 |
Randy L Hewitt | Chiropractic | Portland Chiropractic Group Inc | 2031 E Burnside St, Portland, OR 97214-1649 |
Jennifer Louise Talbert | Chiropractic | Portland Chiropractic Group Inc | 2031 E Burnside St, Portland, OR 97214-1649 |
Heidi D Olejnik | Chiropractic | Portland Chiropractic Group Inc | 2031 E Burnside St, Portland, OR 97214-1649 |
Find all physicians in zip 97214 |
City | PORTLAND |
Zip Code | 97214 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | PORTLAND + PSYCHOLOGIST, CLINICAL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.