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DR. DOUGLAS E SULLIVAN DC
NPI 1104045137
Chiropractor in Renton, WA

Active since April 25, 2007
304 MAIN AVE S, 203, RENTON, WA 98057(206) 683-2995(206) 666-6213 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas E Sullivan Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS E SULLIVAN DC (NPI 1104045137) is an individual chiropractor in Renton, Washington, licensed in Washington (CH00034393) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104045137
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DOUGLAS E SULLIVANCredential: DC
Location Address304 MAIN AVE S, 203Renton, WA 98057-2758
Mailing Address304 Main Ave S, 203Renton, WA 98057-2758 · (206) 683-2995 · Fax (206) 666-6213
Phone(206) 683-2995
Fax(206) 666-6213
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateSeptember 9, 2009
✔ NPI 1104045137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00034393
Definition
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.
304 MAIN AVE S, Renton, WA 98057
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Other Identifiers 1

Medicare UPINU61325WA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA AHN MA LMHCA
Counselor (Mental Health)
304 MAIN AVE S, SUITE 301
RENTON, WA 98057
King County (206) 552-8899
DR. LAURA J HIEB ND
Naturopath
304 MAIN AVE S, STE 201
RENTON, WA 98057
King County (425) 282-5304
DOUGLAS SULLIVAN, PC
Chiropractor
304 MAIN AVE S, 203
RENTON, WA 98057
King County (206) 683-2995
TRISTA NICOLE MORTENSEN MSW
Social Worker (Clinical)
304 MAIN AVE S, STE 102
RENTON, WA 98057
King County (206) 697-3281
DR. BENJAMIN ERSKINE JOHNSON PSY.D.
Psychologist (Clinical)
304 MAIN AVE S, STE 303
RENTON, WA 98057
King County (425) 228-7265
SANDRA ELIZABETH TUDOR M.A., L.M.H.C.A.
Counselor (Mental Health)
304 MAIN AVE S
RENTON, WA 98057
King County (206) 914-0426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Sullivan's NPI number?

The NPI number for Douglas Sullivan is 1104045137. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Douglas Sullivan located?

Douglas Sullivan practices at 304 Main Ave S 203, Renton, WA 98057. The listed phone number is (206) 683-2995.

What is Douglas Sullivan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Douglas Sullivan was last updated on September 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.