MR. JEAN-LUC LOUIS GUSTIN PA NPI 1083727507

NPI Information

  • NPI: 1083727507
  • Provider Name: MR. JEAN-LUC LOUIS GUSTIN, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 4855 SW WESTERN AVE
    BEAVERTON, OR
    ZIP 97005
  • Phone: (503) 643-7565

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NPI Details

MR. Jean-luc Louis Gustin, PA is a medical physician assistant in Beaverton, OR. MR. Jean-luc Louis Gustin, PA NPI is 1083727507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4855 SW WESTERN AVE
BEAVERTON, OR
ZIP 97005-460
Phone: (503) 643-7565

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA00309OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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