Provider Demographics
NPI:1669468245
Name:PIERCE, JULIA A (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NE MULTNOMAH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2031
Mailing Address - Country:US
Mailing Address - Phone:800-813-2000
Mailing Address - Fax:855-524-5255
Practice Address - Street 1:3175 NE ALOCLEK DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7135
Practice Address - Country:US
Practice Address - Phone:800-813-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61296107207R00000X
COCDRH.0050243207R00000X
CAG172361207R00000X
NY309825207R00000X
NJ25MA11107800207R00000X
TN24898207R00000X
ORMD208657207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO93737343Medicaid
CO22010OtherKAISER COMMERCIAL NUMBER
TN30797681Medicare PIN
COCOAAA1977Medicare PIN
CO93737343Medicaid
TN30797622Medicare PIN
CO22010OtherKAISER COMMERCIAL NUMBER
TN3079768Medicare PIN