MR. JACOB JOSEPH TULLIUS
NPI 1578418075
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Jacob Tullius's NPI number?

The NPI number for Jacob Tullius is 1578418075. It was assigned to this individual provider in the NPPES registry on February 28, 2026.

Q: What is Jacob Tullius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Tullius was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since February 28, 2026

7573 N EDGEWATER AVE, PORTLAND, OR 97203(915) 319-0828 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Mr. Jacob Joseph Tullius NPPES

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

MR. JACOB JOSEPH TULLIUS (NPI 1578418075) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10008790) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1578418075

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. JACOB JOSEPH TULLIUS

Location Address7573 N EDGEWATER AVEPortland, OR 97203-5081

Mailing Address7573 N Edgewater AvePortland, OR 97203-5081 · (915) 319-0828

Phone(915) 319-0828

Sole ProprietorNo

Enumeration DateFebruary 28, 2026

Last NPPES UpdateAugust 5, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1578418075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 10008790

7573 N EDGEWATER AVE, Portland, OR 97203

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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 Jacob Tullius's NPI number?

The NPI number for Jacob Tullius is 1578418075. It was assigned to this individual provider in the NPPES registry on February 28, 2026.

Where is Jacob Tullius located?

Jacob Tullius practices at 7573 N Edgewater Ave, Portland, OR 97203. The listed phone number is (915) 319-0828.

What is Jacob Tullius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jacob Tullius was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.