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John Mccollum
NPI 1083036073 · Specialist · Portland, OR
John Mccollum is a Specialist provider in Portland, OR (NPI 1083036073).
Provider details
- NPI number
- 1083036073
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7727 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4259 Ne Broadway St
Portland, OR 97213-1421
Phone: (503) 358-3506
Street-level locationGet directions
Mailing address
4259 Ne Broadway St
Portland, OR 97213-1421
Registry dates
- Enumerated
- 2014-01-10
- Last updated
- 2014-01-10
Frequently asked questions
- What is John Mccollum's NPI number?
- John Mccollum's National Provider Identifier (NPI) is 1083036073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Mccollum's specialty?
- John Mccollum is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is John Mccollum located?
- John Mccollum's practice location on file with NPPES is 4259 Ne Broadway St, Portland, OR 97213-1421.
- What is John Mccollum's phone number?
- The practice phone number listed in the NPPES registry for John Mccollum is (503) 358-3506.
- Is John Mccollum's NPI active?
- Yes — John Mccollum's NPI (1083036073) is active in the NPPES registry as of the last update on 2014-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.