Individual provider Active NPI

Anela Puljic, MD

  • Obstetrics & Gynecology Physician
  • Tualatin, OR
National Provider Identifier
1659688323
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD215354 Issued in OR
Practice address
19250 SW 65TH Ave Ste 300
Tualatin, OR 97062-7707
Phone
(503) 692-1242
Fax
(503) 691-3615
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61525222 WA
Obstetrics & Gynecology Physician 207V00000X MD215354 OR Primary

Addresses

Primary practice location

19250 SW 65TH Ave Ste 300
Tualatin, OR 97062-7707

Mailing address

7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615

Other practice location 1

505 NE 87th Ave Ste 160
Vancouver, WA 98664-1965
Phone (360) 514-1060

Other practice location 2

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 491-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230818000627 OR Practitioner - Obstetrics/Gynecology 9234489964 Reassigns benefits to 1 organization
I20240405003027 WA Practitioner - Obstetrics/Gynecology 9234489964 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61525222WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince May 15, 2024 Accepting new patients
Stephanie Cropper, MD, Inc. Obstetrics & Gynecology CurrentSince Jul 26, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 13, 2025 Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Northwest Urology, LLC Past Accepting new patients
Women's Healthcare Associates, LLC PastSince Sep 3, 2025 Accepting new patients
Peacehealth Past Accepting new patients

Locations

2140 Grand Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 392-2002

2140 Grand Ave
Chino Hills, CA 91709
Phone (818) 857-8785

250 W Bonita Ave
Ste 100
Pomona, CA 91767
Phone (909) 392-2002

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 160
Vancouver, WA 98664
Phone (360) 256-4500

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: apuljic652115@direct.peacehealth.org
  • Direct secure messaging: apuljic@bonitaobgyn.gwaydirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1659688323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 SW BEVELAND RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238692",
            "telephone_number": "503-601-3615",
            "fax_number": "503-840-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 300",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627707",
            "telephone_number": "503-692-1242",
            "fax_number": "503-691-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 NE 87th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-1060",
            "fax_number": "360-514-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24800 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303378",
            "country_code": "US",
            "telephone_number": "503-491-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULJIC",
        "first_name": "ANELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61525222",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD215354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.