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Judith Lynn Pulliam
Adult Mental Health Clinic/Center in Beaverton, Oregon
NPI 1588211510

Judith Lynn Pulliam is an Adult Mental Health Clinic/Center based in Beaverton, OR and is specialized in Adult Mental Health. Judith Lynn Pulliam practices in Beaverton, OR. The NPI Number for Judith Lynn Pulliam is 1588211510 and holds a License No. (Oregon).

The current practice location address for Judith Lynn Pulliam is 4900 Sw Griffith Dr Ste 235, Beaverton, OR and can be reached out via phone at 503-520-9977 and via fax at 503-526-3912.

Location: 4900 Sw Griffith Dr Ste 235, Beaverton, OR, 97005-4649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588211510
Provider Name
Judith Lynn Pulliam
Credential
Provider Entity Type
Organization
Address
4900 Sw Griffith Dr Ste 235, Beaverton, OR, 97005-4649
Phone Number
503-520-9977
Fax Number
503-526-3912
Provider Enumeration Date
08/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730208729 01 NPPES
institution
Provider Business Practice Location Address Details
Address
4900 Sw Griffith Dr Ste 235
City
Beaverton
State
Oregon
Zip
97005-4649
Phone Number
503-520-9977
Fax Number
503-526-3912
person
Provider Business Mailing Address Details
Address
4900 Sw Griffith Dr Ste 235
City
Beaverton
State
Oregon
Zip
97005-4649
Phone Number
503-520-9977
Fax Number
503-526-3912
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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