1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Internal Medicine
  6. NPI Profile

DR. FRED RICHARD SULLIVAN JR. MD
NPI 1306852801
Internal Medicine - Hematology in Portland, OR

Active since August 01, 2006
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-6594 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Fred Richard Sullivan Jr. Md NPPES

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

DR. FRED RICHARD SULLIVAN JR. MD (NPI 1306852801) is an individual hematology provider in Portland, Oregon, licensed in Oregon (MD24620) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1306852801
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. FRED RICHARD SULLIVAN JR.Credential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone(503) 494-6594
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1306852801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in OR · MD24620
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Other Identifiers 2

Medicaid227500OR
Medicare UPIND83043

Other Providers at the Same Location NPPES 20

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

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Fred Sullivan's NPI number?

The NPI number for Fred Sullivan is 1306852801. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Fred Sullivan located?

Fred Sullivan practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-6594.

What is Fred Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

When was this NPI record last updated?

The NPPES record for Fred Sullivan was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.