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

Joseph P Sullivan, QMHA-R

Individual provider Mental Health Counselor · NPI 1902604911

Joseph P Sullivan, QMHA-R is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

1310 SW 17th Ave
Portland, OR 97201-2522
Phone: (971) 275-4097
Fax: (971) 245-3043
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 24-QMHA-R-5340 (OR)

Record details

NPI number1902604911
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA-R
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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