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DENNIS MICHAEL SULLIVAN D.C. NPI 1710258397


NPI Information

NPI: 1710258397
Provider Name: DENNIS MICHAEL SULLIVAN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2305 SE WASHINGTON ST STE 109
MILWAUKIE, OR
ZIP 97222
Phone: (503) 709-8946
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DENNIS MICHAEL SULLIVAN, D.C. is a chiropractor in Milwaukie, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DENNIS MICHAEL SULLIVAN, D.C. NPI is 1710258397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2305 SE WASHINGTON ST STE 109
MILWAUKIE, OR
ZIP 97222-647
Phone: (503) 709-8946
Fax: (503) 659-4445

The provider's authorized official is Dennis M. Sullivan .
The authorized official title is Owner and has the following contact phone number (503) 709-8946.

The enumeration date for this NPI number is 1/13/2012 and was last updated on 1/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor27-2247OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073552873OTHERNPI TYPE 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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