Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brian David Sullivan

Individual provider Peer Specialist · NPI 1699290106

Brian David Sullivan is a Peer Specialist in White City, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

8495 Crater Lake Hwy
White City, OR 97503-3011
Phone: (541) 826-2111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)

Record details

NPI number1699290106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESOctober 22, 2026
Certification dateOctober 22, 2026

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