Individual
TERI L MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 N GRAHAM ST STE 200, PORTLAND, OR 97227-1676
(503) 413-4134
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20210836NP-PP
OR
Other
Enumeration date
06/26/2021
Last updated
12/19/2023
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