Individual provider Active NPI

Quinn Marie Scallon, MD

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1588774426
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25747 Issued in OR
Practice address
2555 Main St
Klamath Falls, OR 97601-2723
Phone
(541) 516-4099
NPI assigned
Aug 30, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD25747 OR Primary

Addresses

Primary practice location

2555 Main St
Klamath Falls, OR 97601-2723

Mailing address

PO Box 1710
Redmond, OR 97756-0516
Phone (541) 516-4099

Other identifiers 1

IdentifierTypeStateIssuer
500642067MedicaidOR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000170 OR Practitioner - Family Practice 4587766886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25747ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Health CurrentSince Jan 2, 2006 Accepting new patients

Locations

2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753

2577 NE Courtney Dr
Ste 100
Bend, OR 97701
Phone (541) 923-4462

600 SW Columbia St
Ste 6210
Bend, OR 97702

600 SW Columbia St
Ste 6250
Bend, OR 97702

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

Interoperability endpoints

  • Direct secure messaging: qscallon680952@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1588774426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560516",
            "telephone_number": "541-516-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012723",
            "telephone_number": "541-516-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLON",
        "first_name": "QUINN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD25747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500642067",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.