Individual
JOHN SULLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 120, BEAVERTON, OR 97006-8115
(503) 476-1189
Mailing address
15455 NW GREENBRIER PKWY STE 120, BEAVERTON, OR 97006-8115
(503) 476-1189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.144093
OH
2084P0800X
Psychiatry Physician
MD198576
OR
Other
Enumeration date
03/19/2018
Last updated
01/05/2026
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