HOLLY TALLMAN (MD) – Case Manager/Care Coordinator, NPI 1356895320

HOLLY TALLMAN (MD) is a healthcare provider. based in Portland, Oregon. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. R7949 (AZ). The NPI Number for HOLLY TALLMAN (MD) is 1356895320

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY TALLMAN (MD)
NPI
1356895320
Phone
(503) 654-3581
Address
14600 NW CORNELL RD
Enumeration Date
8 August 2016
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038141278
Graduation Year
2022 (4 years ago)
PAC ID
6406235019
Group Practice PAC ID
8628061124
Professional Enrollment ID
I20250527002698
Address ID
OR973013905SA890XXSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

824 EMERGENCY MEDICINE in OR

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Provider Addresses for HOLLY TALLMAN (MD)

  • Northwest Cornell Road, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972295442

    Phone: (503) 654-3581

    Type: Mailing

  • Umoja Center, 4941, Northeast 17th Avenue, Alberta, Vernon, Portland, Metro, Multnomah County, Oregon, 97211, United States

    PORTLAND, OR 972115709

    Phone: (503) 282-3296

    Type: Location

  • 3950 S COUNTRY CLUB RD STE 200

    TUCSON, AZ 857142227

    Phone: (520) 626-5582

    Type: Mailing

  • 3950 S COUNTRY CLUB RD

    TUCSON, AZ 857142099

    Phone: (520) 626-5582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250527002698IEmergency MedicineORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628061124View full group profile
NameSpecialtyState
Emergency MedicinePA
-OR
Emergency MedicineOR
Emergency MedicineNJ
Emergency MedicineOR
Emergency MedicineAL
Emergency MedicineOR
Emergency MedicineMN
Emergency MedicineOR
Emergency MedicineOR

Reviews

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Frequently asked questions

What identifier follows HOLLY TALLMAN (MD) across health systems?
The NPI 1356895320 uniquely identifies HOLLY TALLMAN (MD) in U.S. healthcare data.
Is HOLLY TALLMAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists HOLLY TALLMAN (MD) as active.
What type of care does HOLLY TALLMAN (MD) provide?
HOLLY TALLMAN (MD)'s profile centers on Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
What city is tied to HOLLY TALLMAN (MD)?
The directory associates HOLLY TALLMAN (MD) with Portland, Oregon. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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