black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

J D FULWILER & CO INSURANCE

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN199136
Status:
Active
First Licensure:
01/17/2012
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
5727 S MACADAM AVE
PORTLAND, OR 97239-3765
Mailing:
5727 S MACADAM AVE
PORTLAND, OR 97239-3765
Phone:
+1 (503) 293-8232
Fax:
+1 (360) 750-1511
Email:
slovette@jdfulwiler.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/17/2012 04/01/2027

Alias, DBA or Trade Name
Name
GALES CREEK INSURANCE SERVICES

Employer
Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
 08/18/2016 PCF393
AMERICAN ECONOMY INSURANCE COMPANY
 09/27/2013 PCF363 12/10/2021
AMERICAN FIRE AND CASUALTY COMPANY
 09/27/2013 PCF200822 11/10/2023
AMERICAN STATES INSURANCE COMPANY
 09/27/2013 PCF377 12/10/2021
ARCADIAN HEALTH PLAN INC
 05/11/2016 HMF112421 12/23/2016
ARCH INSURANCE COMPANY
 06/08/2023 PCF62719
COMMERCE AND INDUSTRY INSURANCE COMPANY
 08/18/2016 PCF413
EXCELSIOR INSURANCE COMPANY
 09/27/2013 PCF46786 05/09/2024
GENERAL INSURANCE COMPANY OF AMERICA
 09/27/2013 PCF447 11/10/2023
GREAT AMERICAN SPIRIT INSURANCE COMPANY
 05/02/2014 PCF46805 07/31/2014
GREAT DIVIDE INSURANCE COMPANY
 04/13/2012 PCF36251
HUMANA BENEFIT PLAN OF ILLINOIS INC
 05/11/2016 LHF202755 12/23/2016
HUMANA INSURANCE COMPANY
 05/11/2016 LHF980 12/23/2016
HUMANADENTAL INSURANCE COMPANY
 05/11/2016 LHF173873 12/23/2016
INDEPENDENCE AMERICAN INSURANCE COMPANY
 03/31/2023 PCF86149
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 02/06/2013 PCF527
NETHERLANDS INSURANCE COMPANY
 09/27/2013 PCF827 05/10/2024
OHIO CASUALTY INSURANCE COMPANY
 09/27/2013 PCF73059
OHIO SECURITY INSURANCE COMPANY
 09/27/2013 PCF200581 11/10/2023
PEERLESS INDEMNITY INSURANCE COMPANY
 09/27/2013 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
 09/27/2013 PCF548
PROGRESSIVE NORTHERN INSURANCE COMPANY
 01/20/2012 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 01/20/2012 PCF27738
THE STANDARD FIRE INSURANCE COMPANY
 05/21/2015 PCF584
TRAVELERS COMMERCIAL INSURANCE COMPANY
 09/30/2013 PCF31811 07/08/2020
WEST AMERICAN INSURANCE COMPANY
 09/27/2013 PCF200576

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
ROBERT LESLIE BAKER
 01/17/2012 PRN52274
TRISHA M. FULWILER
 01/27/2012 PRN199471
BECKY LYNNE HARDING
 05/23/2012 PRN203392

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
TRISHA M. FULWILER PRN199471

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
775146

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/20/2025 07:08:04 AM