Active NPI
Calla Michalak
- Family Nurse Practitioner
- Oregon City, OR
National Provider Identifier
1902484751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10006558
- Practice address
- Clairmont Hall
19600 Molalla Ave
Oregon City, OR 97045-3768 - Phone
- (503) 722-4400
- NPI assigned
- Apr 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024181097 | VA | |
| Family Nurse Practitioner | 363LF0000X | 10006558 | OR | Primary |
Addresses
Primary practice location
Clairmont Hall
19600 Molalla Ave
Oregon City, OR 97045-3768
Mailing address
1001 Molalla Ave Ste 202
Oregon City, OR 97045-3768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10006558 | OR | MD | Family Nurse Practitioner |
| 0024181097 | VA | MD | Family Nurse Practitioner |
Interoperability endpoints
- calla.michalak.1@31880.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1902484751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MOLALLA AVE STE 202",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLAIRMONT HALL",
"address_2": "19600 MOLALLA AVE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453768",
"telephone_number": "503-722-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALAK",
"first_name": "CALLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2023-07-19",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024181097",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10006558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.