Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104045137 Individual Practitioner Male Practitioner

Dr. Douglas E Sullivan , DC

Chiropractor • Renton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Sullivan, DC is a registered healthcare professional specializing in Chiropractor in Renton, WA. Practice services are available at 304 MAIN AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

304 Main Ave S
203

Renton, WA 980572758

Telephone 2066832995
Fax 2066666213
Associated Practice Facility / Clinic
🏢 Douglas Sullivan, Pc Facility NPI 1609109669

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Renton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.8 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Renton, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00034393

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Laura Ahn , MA LMHCA

Counselor - Mental Health

NPI 1336415744

MALMHCA

NPI 1457575342

Doctor of Naturopathic Medicine

George Clark , MSW, LCSWIC, CDP, CDIII

Counselor - Addiction (Substance Use Disorder)

NPI 1497810279

Master of Social Work, LCSWIC, CDP, CDIII

Trista Mortensen , MSW

Social Worker - Clinical

NPI 1720125636

Master of Social Work

Bonnie Geddes

Massage Therapist

NPI 1720207541
Dr. Benjamin Johnson , PsyD

Psychologist - Clinical

NPI 1891934105

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2009

Registered at 304 MAIN AVE S, 203, RENTON, WA 980572758 (Tel: 2066832995)

📍
Updated Business Mailing Address September 09, 2009

Registered at 304 MAIN AVE S, 203, RENTON, WA 980572758 (Tel: 2066832995)

👤
Provider Name / Credentials Updated September 09, 2009

Recorded as DOUGLAS SULLIVAN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2009

Chiropractor (License #CH00034393 in WA)

🟢
Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104045137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: September 09, 2009
Sole Proprietor: No

Mailing Address

304 Main Ave S, 203

Renton, WA 980572758

Phone: 2066832995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.