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NPI Code Detail

MEDICARE: MR. JOHN MCCALL PMHNP

MEDICARE: MR. JOHN MCCALL PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner10062230OR

General Provider Information

NPI Number : 1902739030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN MCCALL PMHNP
Provider Business Mailing Address
First Line : 205 SE SPOKANE ST STE 300
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6487
Country : US
Telephone Number : 503-567-8622
Fax Number : 503-974-0922
Provider Business Practice Location Address
First Line : 205 SE SPOKANE ST STE 300
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6487
Country : US
Telephone Number : 503-567-8622
Fax Number : 503-974-0922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/17/2026

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