MCCALLUM PSYCHIARTY LLC NPI 1861231409

NPI Information

  • NPI: 1861231409
  • Provider Name: MCCALLUM PSYCHIARTY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 14305 SW 112TH AVE
    TIGARD, OR
    ZIP 97224
  • Phone: (503) 660-2418

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NPI Details

MCCALLUM PSYCHIARTY LLC is a mental health (including community mental health center) clinic center in Tigard, OR. MCCALLUM PSYCHIARTY LLC NPI is 1861231409. The provider is registered as an organization entity type.

The provider's business location address is:

14305 SW 112TH AVE
TIGARD, OR
ZIP 97224-705
Phone: (503) 660-2418

The provider's authorized official is Kristi Smith .
The authorized official title is Admin and has the following contact phone number (509) 308-0276.

The enumeration date for this NPI number is 5/22/2024 and was last updated on 6/4/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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