Bryhanna Christinecharles McCully, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA209821 Issued in OR

Practice address

2850 SE Powell Valley Rd
Gresham, OR 97080-1494

Phone

(503) 666-5050

NPI assigned

Jan 2, 2021

Last updated

Jun 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Clinics LLCGroup PAC ID 0244144004, shared by 2 NPIs, 714 clinicians

Uptown Providers PCGroup PAC ID 4284891243, 43 clinicians

Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bryhanna.charles.1@30646.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peacehealth Networks on Demand, LLC

  dba Zoom Management

  • General Practice Physician
  • Tigard, OR
  • NPI 1023582178
  Medicare reassignment Care Compare group NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Tigard, OR
  • NPI 1346903531
  Medicare reassignment Care Compare group
• Uptown Providers PC

  • General Practice Physician
  • Beaverton, OR
  • NPI 1710349477
  NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Vancouver, WA
  • NPI 1912702465
  NPD
• Uptown Providers PC

  • General Practice Physician
  • Portland, OR
  • NPI 1144598293
  NPD (past)
• Central Dupage Physician Group

  dba Northwestern Medicine Regional Medical Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Legacy Good Samaritan Hospital and Medical Center

  dba Legacy Good Samaritan Providers

  • Clinic/Center
  • Portland, OR
  • NPI 1679597108

  Hospital

  Care Compare affiliation
• Legacy Good Samaritan Hospital and Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1780608216
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1154919561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL VALLEY RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801494",
            "telephone_number": "503-666-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11815 233rd St",
            "address_purpose": "LOCATION",
            "city": "Cambria Heights",
            "state": "NY",
            "postal_code": "114112227",
            "country_code": "US",
            "telephone_number": "347-610-5316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 W Belmont Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575785",
            "country_code": "US",
            "telephone_number": "312-694-2273",
            "fax_number": "312-694-1875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 Raymond Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605639789",
            "country_code": "US",
            "telephone_number": "630-359-8396",
            "fax_number": "630-933-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "847-802-7500",
            "fax_number": "847-802-7162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Roosevelt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376141",
            "country_code": "US",
            "telephone_number": "630-384-6200",
            "fax_number": "630-384-6229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611521",
            "country_code": "US",
            "telephone_number": "847-475-2273",
            "fax_number": "847-535-7761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Foxfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601745799",
            "country_code": "US",
            "telephone_number": "630-377-6500",
            "fax_number": "630-377-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 N Dearborn St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606544618",
            "country_code": "US",
            "telephone_number": "312-694-2273",
            "fax_number": "312-694-2129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 N Fairbanks Ct",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115435",
            "country_code": "US",
            "telephone_number": "312-472-3173",
            "fax_number": "312-472-3176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21202 Owens Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604482038",
            "country_code": "US",
            "telephone_number": "779-334-0030",
            "fax_number": "779-334-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Sherman Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013711",
            "country_code": "US",
            "telephone_number": "312-694-9521",
            "fax_number": "312-694-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Rockland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600441778",
            "country_code": "US",
            "telephone_number": "847-535-6460",
            "fax_number": "847-535-6465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 NE 99th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972209442",
            "country_code": "US",
            "telephone_number": "503-488-2626",
            "fax_number": "503-488-2630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Patriot Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268039",
            "country_code": "US",
            "telephone_number": "847-475-2273",
            "fax_number": "847-998-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 N Richmond Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600515407",
            "country_code": "US",
            "telephone_number": "815-206-7500",
            "fax_number": "815-385-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 Maple Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013134",
            "country_code": "US",
            "telephone_number": "312-694-2273",
            "fax_number": "312-694-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6155 Grand Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600311651",
            "country_code": "US",
            "telephone_number": "224-271-6700",
            "fax_number": "224-271-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Blanchard Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601892038",
            "country_code": "US",
            "telephone_number": "630-682-0500",
            "fax_number": "630-682-1078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24076 SE Stark St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303385",
            "country_code": "US",
            "telephone_number": "503-488-2600",
            "fax_number": "503-465-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLY",
        "first_name": "BRYHANNA",
        "middle_name": "CHRISTINECHARLES",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA209821",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA209821",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500807348",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209836",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referringeent@orclinic.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "Oregon Clinic PC",
            "address_1": "1111 NE 99th Ave Ste 101",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972209442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Junette E McColl, LMT, C.A.
• Autumn McCollum
• Dawn McCollum, RN
• Catherine Elizabeth McCoy, OTR/L OTD
• McCrae Management & Investments, LTD. (NewSound Hearing Aid Centers)
• Cheryl Renee McDaniel, RDH
• Dietrich Lamont McDaniel, CADCII/CRM/PSS/QMHAI
• Tilden McDonald Jr., CRM/PSS
• Courtney McEldowney, L.M.T
• Dani McFarland

• Physician Assistant in Gresham, OR
• Providers in Gresham, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.