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MR. JOHN MCCOLLUM
NPI 1083036073
Specialist in Portland, OR

Active since January 10, 2014
4259 NE BROADWAY ST, PORTLAND, OR 97213(503) 358-3506 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. John Mccollum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN MCCOLLUM (NPI 1083036073) is an individual specialist in Portland, Oregon, licensed in Oregon (7727) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1083036073
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JOHN MCCOLLUM
Location Address4259 NE BROADWAY STPortland, OR 97213-1421
Mailing Address4259 Ne Broadway StPortland, OR 97213-1421 · (503) 358-3506
Phone(503) 358-3506
Sole ProprietorYes
Enumeration DateJanuary 10, 2014
✔ NPI 1083036073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 7727
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4259 NE BROADWAY ST, Portland, OR 97213
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RON SUNDHOLM
Hearing Instrument Specialist
4259 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 288-8334
DR. MIA MARIN- PECK CRUPPER N.D., L.M.T
Naturopath
4259 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 235-2259
DR. MICHAEL L CRUPPER N.D.
Naturopath
4259 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 235-2259
GIFT OF LIFE CLINIC
Naturopath
4259 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 235-2259
NORTHLAND HEARING CENTERS, INC.
Audiologist-Hearing Aid Fitter
4259 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 288-8334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mccollum's NPI number?

The NPI number for John Mccollum is 1083036073. It was assigned to this individual provider in the NPPES registry on January 10, 2014.

Where is John Mccollum located?

John Mccollum practices at 4259 NE Broadway St, Portland, OR 97213. The listed phone number is (503) 358-3506.

What is John Mccollum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John Mccollum was last updated on January 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.