Carmen McCallum, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD21127 Issued in OR

Practice address

19355 SW Mohave CT
Tualatin, OR 97062-8631

Phone

(503) 776-0809

Fax

(971) 205-3050

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 4, 2023 through May 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1295810265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19355 SW MOHAVE CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628631",
            "telephone_number": "971-272-3112",
            "fax_number": "971-205-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19355 SW MOHAVE CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628631",
            "telephone_number": "503-776-0809",
            "fax_number": "971-205-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Mattson, D.D.S
• Kristin Kathleen Mauer, PA C
• Jude Taylor Mauge
• Patrick G McBee, M.D.
• Susan McCall, MD
• Karen Anne McClish, MSN, FNP
• Joelle McCormick, LCSW
• Theresa A McDermott, DC, ND
• Katherine Anne McDuffee
• Alison M McEwing, LPC

• Internal Medicine Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.