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
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
Mailing address4259 Ne Broadway St, Portland, OR 97213-1421

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