IndividualActive
Phoenix Mcculloch, MSW
NPI 1083897912 · Social Worker · Portland, OR
Phoenix Mcculloch, MSW is a Social Worker provider in Portland, OR (NPI 1083897912).
Provider details
- NPI number
- 1083897912
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% 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
3050 Se Division St Ste 205
Portland, OR 97202-1997
Phone: (971) 808-2115
Street-level locationGet directions
Mailing address
1500 Ne Irving St
Portland, OR 97232-2243
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Frequently asked questions
- What is Phoenix Mcculloch's NPI number?
- Phoenix Mcculloch's National Provider Identifier (NPI) is 1083897912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phoenix Mcculloch's specialty?
- Phoenix Mcculloch is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Phoenix Mcculloch located?
- Phoenix Mcculloch's practice location on file with NPPES is 3050 Se Division St Ste 205, Portland, OR 97202-1997.
- What is Phoenix Mcculloch's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Mcculloch is (971) 808-2115.
- Is Phoenix Mcculloch's NPI active?
- Yes — Phoenix Mcculloch's NPI (1083897912) is active in the NPPES registry as of the last update on 2023-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.