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JUDITH LYNN PULLIAM
NPI 1588211510
Clinic/Center - Adult Mental Health in Beaverton, OR

Active since August 23, 2019
4900 SW GRIFFITH DR STE 235, BEAVERTON, OR 97005(503) 520-9977(503) 526-3912 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Aug 23, 2019 (2 updates tracked since 2019).

About Judith Lynn Pulliam NPPES

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

JUDITH LYNN PULLIAM (NPI 1588211510) is a healthcare organization registered as an adult mental health in Beaverton, Oregon and active in the NPI registry since August 2019. The organization lists Judith L Pulliam, Practitioner, as its authorized official.

NPPES Registry Identity

NPI1588211510
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameJUDITH LYNN PULLIAM
Location Address4900 SW GRIFFITH DR STE 235Beaverton, OR 97005-4649
Mailing Address4900 Sw Griffith Dr Ste 235Beaverton, OR 97005-4649 · (503) 520-9977 · Fax (503) 526-3912
Phone(503) 520-9977
Fax(503) 526-3912
Organization SubpartNo
Authorized OfficialJudith L PulliamPractitioner · (503) 961-3562
Enumeration DateAugust 23, 2019
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1588211510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4900 SW GRIFFITH DR STE 235, Beaverton, OR 97005
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Other Identifiers 1

Other1730208729Nppes

Other Providers at the Same Location NPPES 4

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

MR. FORREST WILLIAM ROSSER LMFT
Marriage & Family Therapist
4900 SW GRIFFITH DR STE 235
BEAVERTON, OR 97005
Washington County (971) 217-6475
ARIEL TESSA MALIA LPC
Counselor (Professional)
4900 SW GRIFFITH DR STE 235
BEAVERTON, OR 97005
Washington County (971) 365-3455
CATHERINE ANNE CUPP LPC
Counselor (Professional)
4900 SW GRIFFITH DR STE 235
BEAVERTON, OR 97005
Washington County (541) 377-9011
JULIE A. DICKS, PH.D., P.C.
Community/Behavioral Health
4900 SW GRIFFITH DR STE 235
BEAVERTON, OR 97005
Washington County (503) 805-9456

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 Judith Lynn Pulliam's NPI number?

The NPI number for Judith Lynn Pulliam is 1588211510. It was assigned to this organization in the NPPES registry on August 23, 2019.

Where is Judith Lynn Pulliam located?

Judith Lynn Pulliam is located at 4900 SW Griffith Dr Ste 235, Beaverton, OR 97005. The listed phone number is (503) 520-9977.

What is Judith Lynn Pulliam's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Judith Lynn Pulliam was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.