Dr. Lisa C. Sullivan
M.D. | Pediatrics | Female
Dr. Lisa C. Sullivan, M.D. is a Milwaukie, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Lisa C. Sullivan is
4950 Se Roethe Rd, Milwaukie, Oregon - 97267-5746. She can be contacted on phone at
503-722-6858 and fax number 503-722-6826.
Dr. Lisa C. Sullivan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa C. Sullivan is
1841380375 which was assigned by NPPES on 13 Oct, 2006 and it was last updated on 27 Jun, 2019.
Dr. Lisa C. Sullivan license number is
MD24619 for Pediatrics (208000000X) in Oregon.
Dr. Lisa C. Sullivan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Lisa C. Sullivan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Lisa C. Sullivan |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Lisa C. Sullivan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4950 Se Roethe Rd
Milwaukie, OR, 97267-5746
United States |
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| Phone Number : | 503-722-6858 |
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| Fax Number : | 503-722-6826 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841380375 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Oct, 2006 |
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| Last Updated On : | 27 Jun, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa C. Sullivan are as mentioned. Primary taxonomy code for Dr. Lisa C. Sullivan, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD24619 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lisa C. Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 096511 | MEDICAID | OR | |
| 22959 | MEDICAID | OR | |
| 240558 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 421 Sw Oak St, Ste 210
Portland, OR, 97204-1817
United States |
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| Phone Number : | 503-988-7468 |
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| Fax Number : | 503-988-7468 |
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Business Location:
Patients can refer following map for directions to
Dr. Lisa C. Sullivan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.