Kerry Calhoun

Key facts

NPI

1437829488

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

PA219034 (OR)

Practice address

9220 SW Barbur Blvd Ste 122
Portland, OR 97219-5435

Phone

(708) 955-0912

NPI assigned

Sep 20, 2021

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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

• CRM Physicians, LLC Internal Medicine Physician · Beaverton, OR · NPI 1952674996
  Medicare reassignment OR
• Community Medical Services Montana-Private, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR · NPI 1720934243
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2026.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1437829488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "602-248-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SW BARBUR BLVD STE 122",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195435",
            "telephone_number": "708-955-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA219034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

• Anna Cale
• India Nadine Cale
• Cherie Lynn Calewart, LCSW
• Sondra Gale Calhoon, RN
• Jesseca Calhoun
• Patricia Calhoun, LCSW
• Calico Mental Health Associates LLC
• Joseph Vincent Califano, DDS, PHD
• Angelo Lorenzo Calinga
• Mark D. Calkins, MD

All providers in Portland, OR · Physician Assistant in Oregon