Courtney Ann Mccallum, APRN PMHNP - Nurse Practitioner in Portland, OR

Courtney Ann Mccallum, APRN PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Portland, Oregon. Courtney Ann Mccallum is licensed to practice in Oregon (license number 10025683) and her current practice location is 14305 Sw 112th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 660-2418.

NPI number for Courtney Ann Mccallum is 1538315015 and her current mailing address is 14305 Sw 112th Ave, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538315015.

Contact Information

Courtney Ann Mccallum, APRN PMHNP
14305 Sw 112th Ave,
Portland, OR 97224-3705
(503) 660-2418
Not Available

Map and Direction




Provider's Profile

Full NameCourtney Ann Mccallum
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location14305 Sw 112th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538315015
  • Provider Enumeration Date: 08/15/2008
  • Last Update Date: 05/02/2024

Medical Identifiers

Medical identifiers for Courtney Ann Mccallum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538315015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 200841828RN (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10025683 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Ann Mccallum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courtney Ann Mccallum, APRN PMHNP
14305 Sw 112th Ave,
Portland, OR 97224-3705

Ph: (503) 660-2418
Courtney Ann Mccallum, APRN PMHNP
14305 Sw 112th Ave,
Portland, OR 97224-3705

Ph: (503) 660-2418

Reviews and Comments


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