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

Mr. Jacob Joseph Tullius

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578418075

Mr. Jacob Joseph Tullius is a Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

7573 N Edgewater Ave
Portland, OR 97203-5081
Phone: (915) 319-0828
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10008790 (OR)

Record details

NPI number1578418075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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