Most Relevant Information
Provider Data
| NPI Number: | 1003019621 |
| Provider Name: | DONALD RICHARD SULLIVAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RP1001X |
| Specialty: | Internal Medicine |
| License Number: | MD151732 |
Most Important Dates
| Enumeration Date: | 06/10/2007 |
| Last Updated: | 10/31/2013 |
Provider Practice Location
3181 SW SAM JACKSON PARK RD
UHN67
PORTLAND
OR
972393011
Practice Location Phone/Fax
| Phone: | 5034946949 |
| Fax: |
Provider Mailing Location
3181 SW SAM JACKSON PARK RD
UHN67
PORTLAND
OR
972393011
Provider Mailing Phone/Fax
| Phone: | 5034946949 |
| Fax: |
Suggested EMR
Pulmonologist EMR