Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Sullivan, MD

Individual provider Family Medicine Physician · NPI 1699110601

Corey Sullivan, MD is a Family Practice in Olympia, Washington. Qualified in 2013, 13 years ago. Practices with Providence Health and Services Washington, a 480-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

525 Lilly Rd NE
Olympia, WA 98506-5101
Phone: (360) 493-7230
Fax: (360) 493-4180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ML60368625 (WA)

Record details

NPI number1699110601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing address525 Lilly Rd Ne # 204, Olympia, WA 98506-5101

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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