Scot A Sullivan, MD
Scot A Sullivan, MD is an Ophthalmology in Portland, Oregon. Graduated from University of Oklahoma College of Medicine in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Oklahoma and Oregon.
- Years since qualifying
- 31
- Trained at
- University of Oklahoma College of Medicine
- Licensed in
- OK, OR
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10305 SW Park Way Ste 203Portland, OR 97225-5033
Phone: (503) 223-8333
Fax: (503) 595-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence MD21723 (OR) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 20157 (OK) |
Record details
| NPI number | 1164481230 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 18, 2006 |
| Last updated in NPPES | September 17, 2021 |
| Certification date | July 23, 2021 |
| Mailing address | 10305 Sw Park Way Ste 203, Portland, OR 97225-5033 |
Medicare enrollment
| Medicare specialty | OPHTHALMOLOGY |
|---|---|
| Medical school | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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