Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joshua Tesulov

Individual provider Physician Assistant · NPI 1619710514

Joshua Tesulov is a Physician Assistant in Bend, Oregon. Graduated from Pacific Medical College in 2025, 1 year ago. Practices with St Charles Health System Inc, a 383-clinician group and accepts Medicare assignment.

Years since qualifying
1
Trained at
Pacific Medical College
In the registry since
2024

Practice location Address checks out

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619710514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address36334 Se Rickert Rd, Corbett, OR 97019-9761

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPACIFIC MEDICAL COLLEGE
Graduated 2025 (1 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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