IndividualActive
Courtney Mccallum, APRN PMHNP
NPI 1538315015 · Psychiatric/Mental Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1538315015
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 200841828RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
14305 Sw 112th Ave
Portland, OR 97224-3705
Phone: (503) 660-2418
Street-level locationGet directions
Mailing address
14305 Sw 112th Ave
Portland, OR 97224-3705
Registry dates
- Enumerated
- 2008-08-15
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.