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JUDITH LYNN PULLIAM
NPI 1730208729
Social Worker - Clinical in Portland, OR

Active since March 29, 2007Opted out of Medicare · through Jul 18, 2027
9155 SW BARNES RD, SUITE 238, PORTLAND, OR 97225(503) 961-3562(503) 961-3562 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Judith Lynn Pulliam NPPES

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

JUDITH LYNN PULLIAM (NPI 1730208729) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1154) and active in the NPI registry since March 2007. She has opted out of Medicare through July 18, 2027.

NPPES Registry Identity

NPI1730208729
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUDITH LYNN PULLIAM
Location Address9155 SW BARNES RD, SUITE 238Portland, OR 97225-6625
Mailing Address9590 Sw Washington StPortland, OR 97225-6924 · (503) 961-3562 · Fax (503) 641-7621
Phone(503) 961-3562
Fax(503) 961-3562
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 27, 2012
✔ NPI 1730208729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · 1154
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9155 SW BARNES RD, Portland, OR 97225
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Judith Lynn Pulliam has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2023 through July 18, 2027.

Opt-Out Effective DateJuly 18, 2023
Opt-Out In Effect ThroughJuly 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. SARAH R ZWEBER M.D.
Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Washington County (503) 297-5581
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Washington County (503) 216-5102
DR. DALE MICHAEL WILLIS M.D.
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Washington County (503) 216-6050
THOMAS LORISH MD
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Washington County (503) 216-7145
HEARING HEALTHCARE PROFESSIONALS OF OREGON, LLC
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Washington County (503) 297-1600
FARZAD KAHNAMELLI PHARM.D.
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-6043
DR. CINDY M. REUTER ND, LAC, RD
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Washington County (503) 216-0246
ASHLEIGH B CONNELL MA, CCC-SLP
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225
Washington County (503) 216-8272

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 Pulliam's NPI number?

The NPI number for Judith Pulliam is 1730208729. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Judith Pulliam located?

Judith Pulliam practices at 9155 SW Barnes Rd Suite 238, Portland, OR 97225. The listed phone number is (503) 961-3562.

What is Judith Pulliam's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Judith Pulliam enrolled in Medicare?

No. Judith Pulliam has opted out of Medicare through July 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judith Pulliam was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.