MARK ANTHONY HALLORAN JR. PSS CRM QMHAR CADCR
NPI 1710693544
Case Manager/Care Coordinator in Portland, OR

Q: What is Mark Halloran's NPI number?

The NPI number for Mark Halloran is 1710693544. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Q: What is Mark Halloran's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Halloran was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2023

5415 SW WESTGATE DR, PORTLAND, OR 97221(971) 727-8026 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Jan 25, 2023 (2 updates tracked since 2023).

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About Mark Anthony Halloran Jr. Pss Crm Qmhar Cadcr NPPES

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

MARK ANTHONY HALLORAN JR. PSS CRM QMHAR CADCR (NPI 1710693544) is an individual case manager/care coordinator provider in Portland, Oregon, licensed in Oregon (24-QMHA-R6242) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1710693544

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMARK ANTHONY HALLORAN JR.Credential: PSS CRM QMHAR CADCR

Location Address5415 SW WESTGATE DRPortland, OR 97221-2409

Mailing Address5415 Sw Westgate DrPortland, OR 97221-2409 · (971) 727-8026

Phone(971) 727-8026

Sole ProprietorYes

Enumeration DateJanuary 25, 2023

Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1710693544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OR · 24-QMHA-R6242

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-24-4760 (OR)

Also ListedPeer SpecialistTaxonomy 175T00000X · License 000106008 (OR)

5415 SW WESTGATE DR, Portland, OR 97221

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Other Identifiers 1

Other000106008OR · Traditional Health Worker

Other Providers at the Same Location NPPES 20

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

RAWDAH MOHAMMED HEGAZY

Student in an Organized Health Care Education/Training Program