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MR. RICHARD JOHN SULLIVAN LMT
NPI 1568695864
Massage Therapist in Portland, OR

Active since September 02, 2009
3524 SE STARK ST, PORTLAND, OR 97214(503) 421-5172 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Richard John Sullivan Lmt NPPES

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

MR. RICHARD JOHN SULLIVAN LMT (NPI 1568695864) is an individual massage therapist in Portland, Oregon, licensed in Oregon (6049) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1568695864
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. RICHARD JOHN SULLIVANCredential: LMT
Location Address3524 SE STARK STPortland, OR 97214-3154
Mailing Address3524 Se Stark StPortland, OR 97214-3154 · (503) 421-5172
Phone(503) 421-5172
Sole ProprietorYes
Enumeration DateSeptember 2, 2009
✔ NPI 1568695864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 6049
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3524 SE STARK ST, Portland, OR 97214
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Other Providers at the Same Location NPPES

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

MR. GREGORY M MITCHELL L.M.T.
Massage Therapist
3524 SE STARK ST
PORTLAND, OR 97214
Multnomah County (503) 380-4324

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 Richard Sullivan's NPI number?

The NPI number for Richard Sullivan is 1568695864. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Where is Richard Sullivan located?

Richard Sullivan practices at 3524 SE Stark St, Portland, OR 97214. The listed phone number is (503) 421-5172.

What is Richard Sullivan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Richard Sullivan was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.