Mccallum, Courtney Ann

Mccallum, Courtney Ann is an sole proprietor health care provider with primary practice located at 14305 Sw 112Th Ave , Portland OR 97224-3705. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mccallum, Courtney Ann can be contacted via phone (503) 660-2418.

Contact Information

Primary practice address
14305 Sw 112Th Ave Portland OR 97224-3705
Phone: (503) 660-2418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 200841828RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10025683 Oregon

Profile Details

NPI number 1538315015
LBN Legal business name Mccallum, Courtney Ann
Credentials APRN PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2008
Last updated May 2nd, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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