Active NPI
Kerry Calhoun
- Physician Assistant
- Portland, OR
National Provider Identifier
1437829488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA219034
- Practice address
- 9220 SW Barbur Blvd Ste 122
Portland, OR 97219-5435 - Phone
- (708) 955-0912
- NPI assigned
- Sep 20, 2021
- Last updated
- Jun 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA219034 | OR | Primary |
Addresses
Primary practice location
9220 SW Barbur Blvd Ste 122
Portland, OR 97219-5435
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Services Montana-Private, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Medical Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1720934243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.