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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RYAN JOSEPH SULLIVAN
NPI 1659287217
Counselor - Mental Health in Portland, OR

Active since August 21, 2026
11 NE MLK BLVD STE 203, PORTLAND, OR 97232(503) 962-0743 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ryan Joseph Sullivan NPPES

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

RYAN JOSEPH SULLIVAN (NPI 1659287217) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R9964) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1659287217
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRYAN JOSEPH SULLIVAN
Location Address11 NE MLK BLVD STE 203Portland, OR 97232-3579
Mailing Address11 Ne Mlk Blvd Ste 203Portland, OR 97232-3579 · (503) 962-0743
Phone(503) 962-0743
Sole ProprietorNo
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1659287217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R9964
11 NE MLK BLVD STE 203, Portland, OR 97232
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Other Providers at the Same Location NPPES 4

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

JOHN MATTHEW LIVENGOOD
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
REBEL HEART THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
TAMARA WERNER-FITZ GIBBON LPC, LMHC
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
KAI DEVA CARLI MA AT, ATR-P
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122

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 Ryan Sullivan's NPI number?

The NPI number for Ryan Sullivan is 1659287217. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Ryan Sullivan located?

Ryan Sullivan practices at 11 NE Mlk Blvd Ste 203, Portland, OR 97232. The listed phone number is (503) 962-0743.

What is Ryan Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ryan Sullivan was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.