Active NPI
Cynthia Rose McCullough, ARNP, CNM
- Midwife
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 180IP
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 418-4500
- Fax
- (503) 494-3878
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 202213852NP-PP | OR | |
| Midwife | 176B00000X | 180IP | NC | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
381 Deerfield Rd
Largo, NC 33771-2218
Phone (828) 268-8970
Other practice location 1
381 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 268-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4100
Hospital & facility affiliations
- Watauga Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180IP | NC | MD | Midwife |
| 202213852NP-PP | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Single Specialty | Current | Accepting new patients |
| University Professional Services | Single Specialty | Current | Accepting new patients |
| Tuality Medical Group LLC | Single Specialty | Current | Accepting new patients |
| Northwest Women'S Clinic, PC | Single Specialty | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Single Specialty | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Appalachian Regional Medical Associates, Inc. | Single Specialty | Current | Accepting new patients |
Locations
211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
381 Deerfield Rd
Boone, NC 28607
Phone (828) 268-8970
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
364 SE 8th Ave
Ste 205
Hillsboro, OR 97123
Phone (503) 681-4134
11750 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 416-9922
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Interoperability endpoints
- cmccullough172595@direct.ohsu.edu
- https://api.platform.athenahealth.com/3841/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Single Specialty
-
- Obstetrics & Gynecology Physician
- Portland, OR
- NPI 1043204225
Single Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
Single Specialty
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1871958017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 DEERFIELD RD",
"city": "LARGO",
"state": "NC",
"postal_code": "337712218",
"telephone_number": "828-268-8970",
"fax_number": "828-262-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-418-4500",
"fax_number": "503-494-3878"
}
],
"practiceLocations": [
{
"address_1": "381 Deerfield Rd",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286075009",
"country_code": "US",
"telephone_number": "828-268-8970",
"fax_number": "828-262-1587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "CYNTHIA",
"middle_name": "ROSE",
"credential": "ARNP, CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "202213852NP-PP",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "NC",
"license": "180IP",
"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 Feb 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.