Ross McCallum, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

126276 Issued in OR

Practice address

16099 SE McLoughlin Blvd
Milwaukie, OR 97267-4680

Phone

(503) 894-8803

Fax

(503) 922-1129

NPI assigned

Dec 10, 2010

Last updated

Jun 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1962705137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16099 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674680",
            "telephone_number": "503-894-8803",
            "fax_number": "503-922-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16099 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674680",
            "telephone_number": "503-894-8803",
            "fax_number": "503-922-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "ROSS",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-10",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "126276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Maybury
• Dennis O. Mayer, MD
• Ian Thomas McAnnis-Entenman
• John McCabe
• Kelly Michele McCall, MSPT
• Leana McCann
• Camden McCarthy
• McClanen Clemons Corporation (Naturopathic Family Medicine)
• Meredith Colleen McClanen, N.D.
• Stephanie McClung, PTA

• Acupuncturist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.