JOSEPH R GULLERUD, PA-C, Surgical PORTLAND, OR

Contact Information

JOSEPH R GULLERUD, PA-C

1815 SW MARLOW AVE STE 100
PORTLAND, OR 97225-5185

Phone: 503-935-8100
Fax: 503-935-8110
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JOSEPH R GULLERUD · (Male)

NPI Number	`1710393723`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	07/10/2014
Last updated	10/30/2025 - About 7 months ago
Sole proprietor ¹	No
Identifiers	OR License # PA182582 OR Medicaid 500724113 WA Medicaid 2078286
Hospital affiliation(s)	PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care) 4805 NE GLISAN STREET PORTLAND, OR 97213 PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care) 9205 SW BARNES ROAD PORTLAND, OR 97225

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JOSEPH R GULLERUD, PA-C – NPI #1710393723Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for JOSEPH R GULLERUD · (Male)

Reviews for JOSEPH R GULLERUD

JOSEPH R GULLERUD, PA-C – NPI #1710393723
Surgical