Judith Lynn Pulliam

LBN: Judith Lynn Pulliam
Judith Lynn Pulliam is an health care organization with primary practice located at 4900 Sw Griffith Dr Ste 235 , Beaverton OR 97005-4649. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Judith Lynn Pulliam can be contacted via phone (503) 520-9977, or through Pulliam, Judith L via phone (503) 961-3562.

Contact Information

Primary practice address
4900 Sw Griffith Dr Ste 235 Beaverton OR 97005-4649
Phone: (503) 520-9977
Fax: (503) 526-3912
Website:
Map and Directions
Authorized official contact:
Name: Pulliam, Judith L Licensed Clinical Social Worker (LCSW)
Phone: (503) 961-3562

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1588211510
LBN Legal business name Judith Lynn Pulliam
DBA Doing business as
Authorized official Pulliam, Judith L Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2019
Last updated Oct 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588211510 NPPES
Other 1730208729 NPPES

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