Jane Sylvia Sullivan

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

909 N Beech St Ste 201
Portland, OR 97227-1115

Phone

(503) 481-3964

NPI assigned

Nov 10, 2018

Last updated

Nov 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1255809919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N BEECH ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271115",
            "telephone_number": "503-481-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N BEECH ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271115",
            "telephone_number": "503-481-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JANE",
        "middle_name": "SYLVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Richard Sullivan, MD
• Elizabeth Sullivan, OTR/L
• Emily Elizabeth Sullivan, DACM, LAC
• Fred Richard Sullivan Jr., MD
• Jake Sullivan
• Joanna Kathleen Sullivan, CNM
• Joseph Andrew Sullivan, B.S
• Joseph P Sullivan, QMHA-R
• Joseph W Sullivan, MD
• Keri St Sullivan, PT

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.