Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joseph Robert Gullerud, PA-C

Individual provider Surgical Physician Assistant · NPI 1710393723

Joseph Robert Gullerud, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1815 SW Marlow Ave Ste 100
Portland, OR 97225-5185
Phone: (503) 935-8100
Fax: (503) 935-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5920 Ne Ray Cir Ste 220, Hillsboro, OR 97124-6313 — (503) 935-8100

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA182582 (OR)

Record details

NPI number1710393723
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2014
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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