Individual provider · Type 1 NPI

Michael Sullivan, PhD

Speech-Language Pathologist · Portland, OR

NPI number 1497797435 Active

Practice location

3710 SW US Veterans Hospital Rd, P5AUD
Portland, OR 97239-2964

Call (503) 220-8262 Map

Mailing address

2412 NE 30th Ave
Portland, OR 97212-4922

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X11227 (OR)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1497797435

Michael Sullivan, PhD's National Provider Identifier is 1497797435, issued on Jun 12, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.