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

Michael Sullivan

Individual provider Professional Counselor · NPI 1376243402

Michael Sullivan is a Professional Counselor in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

164 NW Hawthorne Ave
Bend, OR 97703-2918
Phone: (802) 595-9090
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C6081 (OR)

Record details

NPI number1376243402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2023
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address164 Nw Hawthorne Ave, Bend, OR 97703-2918

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