IndividualActive
Kerry Callahan, M.D.
NPI 1902871932 · Family Medicine Physician · Portland, OR
Provider details
- NPI number
- 1902871932
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 16630 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
541 Ne 20th Ave
Suite 210
Portland, OR 97232
Phone: (503) 233-6940
Fax: (503) 236-2676
Street-level locationGet directions
Mailing address
800 Sw 13th Ave
Portland, OR 97205-1902
Additional practice locations (1)
- 5005 Ne Sandy BlvdPortland, OR 97213-1941Phone: (503) 233-6940
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2018-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.