PATRICIA ANNE SULLIVAN


Address: 6274 Sw Capitol Hwy, Portland, OR 97239-2674
Phone: 5032453656

PATRICIA ANNE SULLIVAN (NPI# 1871556472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871556472
Entity Type Individual
Full Name PATRICIA ANNE SULLIVAN
Credential DMD
Practice Address 6274 Sw Capitol Hwy
Portland
OR 97239-2674
Mailing Address 3560 Sw Bancroft Ct
Portland
OR 97221-4029
Practice Telephone 5032453656
Mailing Telephone 5032288321
Enumeration Date 2006-04-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D6652 OR Dental Providers

Other Providers PATRICIA SULLIVAN

NPI Name Taxonomy Address Enumeration
1578129623 Patricia M Sullivan Social Worker 29 Welgate Rd, Medford, MA 02155-2150 2019-05-14
1306252010 Patricia Sullivan Registered Nurse 2999 Avenue R, Brooklyn, NY 11229-2641 2014-07-02
1558786640 Patricia Sullivan Clinical Nurse Specialist 16 Canton Ct, Brooklyn, NY 11229-6023 2014-02-26
1659658631 Patricia Sullivan Licensed Practical Nurse 3 Wooded Way, Calverton, NY 11933-9700 2011-11-04
1467783613 Patricia A Sullivan Registered Nurse 2569 Morningstar Rd, Manasquan, NJ 08736-2221 2010-01-27
1770780843 Patricia Anne Sullivan Dentist 3720 Nw 43rd St, Suite 102, Gainesville, FL 32606-6190 2007-07-02
1467657072 Patricia Mary Sullivan Dietitian, Registered 6083 Hamilton Boulevard, Wescosville, PA 18106 2007-06-15
1699978825 Patricia Sullivan Counselor 1122 Riverside Ave, Somerset, MA 02726-2840 2007-06-06
1427269562 Patricia Ann Sullivan Nurse Practitioner 24 Gardner Ave, Middletown High School, Middletown, NY 10940-3240 2007-05-24
1598822538 Patricia A Sullivan Speech-Language Pathologist 2475 Village Dr Ste 107, Kingsland, GA 31548-6729 2007-01-02

Office Location

Street Address 6274 SW CAPITOL HWY
City PORTLAND
State OR
Zip Code 97239-2674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134102320 Steven Gary Tillett Podiatrist 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2005-11-22
1780097089 Jeffery L Wing Reflexologist 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2014-06-04
1346593084 Hillsdale Naturopathic and Wellness Center Naturopath 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2012-10-18
1164734018 Amy Barrett Lindholm Counselor 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2010-07-08
1336381169 Mathews Acupuncture LLC Acupuncturist 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2009-03-25
1275705428 Astrid H Green Counselor 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2008-03-27
1477767614 Centre Point Physical Therapy, LLC Clinic/Center 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2007-05-09
1710017256 Ankle and Foot Centers PC Podiatrist 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2007-03-06
1023188653 Nancy J. Pitney Nurse Practitioner 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2006-11-09
1114970019 Elaine Bayes Gillaspie Naturopath 6274 Sw Capitol Hwy, Portland, OR 97239-2674 2006-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366064 Felipe Gregorio Flores Dentist 107 Shorecliff Dr, Portland, TX 78374-1459 2020-11-02
1972117588 Medical Teams International Dentist 14150 Sw Milton Ct, Portland, OR 97224-8024 2020-09-01
1255975561 Michigan Sleep Solutions LLC Dentist 8037 Abbey Rd., Portland, MI 48875-9774 2019-10-30
1073162699 Ryan Douglas Mccormick Dentist 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 2019-09-06
1255989497 Owen Ritter Lund Dentist 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 2019-08-30
1023663119 Xiaochen Zhou Dentist 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 2019-08-06
1598223919 Portland Modern Dentistry Dentist 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 2019-03-05
1922571942 Rashmi, LLC Dentist 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 2019-01-03
1053891051 Waleed Almulla Dentist 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 2018-08-19
1558848333 Kelsey Mcevoy Dentist 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 2018-07-24
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Competitor

Search similar providers

City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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