1. Home
  2. Directory
  3. Oregon
  4. Beaverton
  5. Physician Assistant
  6. NPI Profile

MR. JEAN-LUC LOUIS GUSTIN PA
NPI 1083727507
Physician Assistant - Medical in Beaverton, OR

Active since August 17, 2006
4855 SW WESTERN AVE, BEAVERTON, OR 97005(503) 643-7565 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jean-luc Louis Gustin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEAN-LUC LOUIS GUSTIN PA (NPI 1083727507) is an individual medical provider in Beaverton, Oregon, licensed in Oregon (PA00309) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083727507
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JEAN-LUC LOUIS GUSTINCredential: PA
Location Address4855 SW WESTERN AVEBeaverton, OR 97005-3460
Mailing Address14481 S Buckner Creek RdMulino, OR 97042-9626 · (503) 632-7135
Phone(503) 643-7565
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083727507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA00309
4855 SW WESTERN AVE, Beaverton, OR 97005
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RANDEEP KAUR DA
Dental Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 626-4148
CHANNA V HANG PA
Physician Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 813-2000
MEDHA CHUNDURU MD
Family Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 813-2000
MARYLOU STRONG
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 520-4950
BRADLEY RAY PLANT DPT, CSCS
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 813-2000
AMANDA ANDERSEN
Internal Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 813-2000
TINA TRUONG
Dental Hygienist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 213-2000
SANDRA MEACHAM REED M.D.
Obstetrics & Gynecology
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 643-7565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean-luc Gustin's NPI number?

The NPI number for Jean-luc Gustin is 1083727507. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Jean-luc Gustin located?

Jean-luc Gustin practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (503) 643-7565.

What is Jean-luc Gustin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jean-luc Gustin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.