Mackintosh, Callum Hart

Mackintosh, Callum Hart is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 359 , Portland OR 97213-2983. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mackintosh, Callum Hart can be contacted via phone (503) 935-8501.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 359 Portland OR 97213-2983
Phone: (503) 935-8501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA207556 Oregon

Profile Details

NPI number 1902427776
LBN Legal business name Mackintosh, Callum Hart
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2020
Last updated Nov 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902427776 NPPES
Oregon MEDICAID 500798393

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