Individual provider Active NPI

Julia Lee Charmayne Pulliam, PA

  • Medical Physician Assistant
  • Oregon City, OR
National Provider Identifier
1992761183
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01081 Issued in OR
Practice address
1420 John Adams St
Oregon City, OR 97045-1609
Phone
(503) 656-1484
Fax
(503) 650-1976
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01081 OR Primary

Addresses

Primary practice location

1420 John Adams St
Oregon City, OR 97045-1609

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other practice location 1

641 SE Miller Ave
Dallas, OR 97338-2634
Phone (503) 623-2345

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060419000035 OR Practitioner - Physician Assistant 7618986621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

1420 John Adams St
Oregon City, OR 97045-1609
Phone (503) 656-1484

354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609

4510 SW Hall Blvd
Beaverton, OR 97005-0504
Phone (503) 644-1171

Hospital & facility affiliations

  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC Medical CurrentSince Jul 1, 2025 Accepting new patients
Praxis Health, PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171

1420 John Adams St
Oregon City, OR 97045
Phone (503) 655-7235

Interoperability endpoints

  • Direct secure messaging: jpulliam1014660@oc.providencedirect.org
  • Direct secure messaging: ms_jpullia7@landmarkhealth-direct.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1992761183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451609",
            "telephone_number": "503-656-1484",
            "fax_number": "503-650-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 SE Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973382634",
            "country_code": "US",
            "telephone_number": "503-623-2345",
            "fax_number": "503-623-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "JULIA",
        "middle_name": "LEE CHARMAYNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.