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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DONALD R SULLIVAN, MD
3181 SW SAM JACKSON PARK RD
UHN67
PORTLAND, OR97239-3011
 Phone: 503-494-6949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DONALD R SULLIVAN · (Male)

NPI # 1003019621
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2007
Last updated 10/31/2013 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD151732
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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