Mr. Richard John Sullivan, LMT - Portland, OR

Mr. Richard John Sullivan, LMT

Massage Therapist in Portland, Oregon

NPI 1568695864

Richard John Sullivan is a Massage Therapist based in Portland, OR. Richard John Sullivan practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Richard John Sullivan is 1568695864 and holds a License No. 6049 (Oregon).

The current practice location address for Richard John Sullivan is 3524 Se Stark St, Portland, OR and can be reached out via phone at 503-421-5172.

Location: 3524 Se Stark St, Portland, OR, 97214-3154

NPI Number

1568695864

Provider Name

Richard John Sullivan

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

3524 Se Stark St, Portland, OR, 97214-3154

Phone Number

503-421-5172

Fax Number

Provider Enumeration Date

09/02/2009

Last Update Date

03/09/2024

Address

3524 Se Stark St

City

Portland

State

Oregon

Zip

97214-3154

Phone Number

503-421-5172

Fax Number

Address

3524 Se Stark St

City

Portland

State

Oregon

Zip

97214-3154

Phone Number

503-421-5172

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

6049 (Oregon)

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.

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