Active NPI
Quinn Marie Scallon, MD
- Family Medicine Physician
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD25747
- Practice address
- 2555 Main St
Klamath Falls, OR 97601-2723 - Phone
- (541) 516-4099
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500642067 | Medicaid | OR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25747 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | 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
- 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.
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.