IndividualActive
Charles Sullivan, MD
NPI 1033163381 · Family Medicine Physician · Sequim, WA
Provider details
- NPI number
- 1033163381
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00019156 (WA)
Practice location
840 N 5th Ave
Ste 2100
Sequim, WA 98382-3045
Phone: (360) 582-2850
Fax: (360) 582-2851
Mailing address
840 N 5th Ave
Sequim, WA 98382-3045
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.