IndividualActive
Lavena Mccullum, APRN
NPI 1235628645 · Psychiatric/Mental Health Nurse Practitioner · Salem, OR
Provider details
- NPI number
- 1235628645
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10021776 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
401 Ratcliff Dr Se Ste 110
Salem, OR 97302-4576
Phone: (541) 224-8110
Fax: (800) 783-8942
Approximate (ZIP-level) locationGet directions
Mailing address
710 E Foothills Dr Ste 104
Newberg, OR 97132-6125
Additional practice locations (2)
- 710 E Foothills Dr Ste 104Newberg, OR 97132-6125Phone: (541) 224-8110Fax: (800) 783-8942
- 4400 Ne 77th Ave Ste 275Vancouver, WA 98662-6857Phone: (541) 224-8110Fax: (800) 783-8942
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.