Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John McCollum

Individual provider Specialist · NPI 1083036073

Mr. John McCollum is a Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

4259 NE Broadway St
Portland, OR 97213-1421 Not confirmed with CMS for 12 years — call before visiting
Phone: (503) 358-3506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 7727 (OR)

Record details

NPI number1083036073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 10, 2014
Last updated in NPPESJanuary 10, 2014

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