Individual provider · Type 1 NPI

Richard John Sullivan, LMT

Massage Therapist · Portland, OR

NPI number 1568695864 Active

Practice location

3524 SE Stark St
Portland, OR 97214-3154

Call (503) 421-5172 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6049 (OR)

Massage Therapist: 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.

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About NPI 1568695864

Richard John Sullivan, LMT's National Provider Identifier is 1568695864, issued on Sep 2, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 2, 2009.