Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710693544 Individual Practitioner Male Practitioner

Mark Anthony Halloran , PSS CRM QMHAR CADCR

Case Manager/Care Coordinator • Portland, OR

Professional Overview & Biography Verified Profile Summary

Mark Halloran, PSS CRM QMHAR CADCR is a registered healthcare professional specializing in Case Manager/Care Coordinator in Portland, OR. Practice services are available at 5415 SW WESTGATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5415 Sw Westgate Dr

Portland, OR 972212409

Telephone 9717278026
Associated Practice Facility / Clinic
🏢 Pediatric Dental Group Facility NPI 1972770097

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
1348 Specialists

Practicing in Portland, OR (4272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-10
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OR 24-QMHA-R6242

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR T-24-4760

Definition to come...

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License OR 000106008

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Traditional Health Worker
000106008 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Jennifer Willis , QMHA

Case Manager/Care Coordinator

NPI 1003369893
Amanda Sonju

Student in an Organized Health Care Education/Training Program

NPI 1114706520
Mariana Cortes Gutierrez

Case Manager/Care Coordinator

NPI 1154295400
NPI 1184239592
Maya Berman

Counselor

NPI 1205475886
Grace Taylor

Student in an Organized Health Care Education/Training Program

NPI 1295669828

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated February 10, 2025

Recorded as MARK HALLORAN, PSS CRM QMHAR CADCR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2025

Counselor (License #T-24-4760 in OR)

NPI Profile Active January 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2023

Registered at 5415 SW WESTGATE DR, PORTLAND, OR 972212409 (Tel: 9717278026)

📍
Updated Business Mailing Address January 25, 2023

Registered at 5415 SW WESTGATE DR, PORTLAND, OR 972212409 (Tel: 9717278026)

👤
Provider Name / Credentials Updated January 25, 2023

Recorded as MARK HALLORAN, PSS, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2023

Peer Specialist (License #000106008 in OR)

🟢
Initial NPI Registration & Enumeration January 25, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710693544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2023
Last Update: February 10, 2025
Sole Proprietor: Yes

Mailing Address

5415 Sw Westgate Dr

Portland, OR 972212409

Phone: 9717278026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.