Organization
MCCALLUM PSYCHIARTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI SMITH (ADMIN)
(509) 308-0276
Entity
Organization
Contact information
Practice address
14305 SW 112TH AVE, TIGARD, OR 97224-3705
(503) 660-2418
Mailing address
15532 SW PACIFIC HWY # 201, TIGARD, OR 97224-3598
(503) 660-2418
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
06/04/2024
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