Natacha Yaiko Yonezuka-Gullo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00953 Issued in OR

Practice address

1960 NW 167TH PL, Su 205
Beaverton, OR 97006

Phone

(503) 629-7500

Fax

(503) 629-7505

NPI assigned

Nov 11, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Integrated Joint Specialists LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1942502794
  Medicare reassignment
• A Brooke Benz

  dba Benz Bone & Joint Clinic

  • Specialist
  • Beaverton, OR
  • NPI 1154526341
  NPD (past)
• Integrated Joint Specialists LLC

  dba Reflex

  • Clinic/Center
  • Tigard, OR
  • NPI 1336704071
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689655938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 NW RAMSEY DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294241",
            "telephone_number": "503-223-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 NW 167TH PL, SU 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-629-7500",
            "fax_number": "503-629-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONEZUKA-GULLO",
        "first_name": "NATACHA",
        "middle_name": "YAIKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desu Tefera Yirdaw
• Marisa Yoakum
• Clarence Wayne Yocky, PH.D.
• Amanda Jo Yoder, RDH
• Jyotsna Yogesh Thorvi
• Heejong Yoo, DC
• Yora, LLC
• Douglas Graham York, M.D.
• Jeffrey Gene York, MFT
• Alyssa Young, LMT

• Physician Assistant in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.