Lisa Callahan Cpnp | |
1601 Ne 6th St Grants Pass OR 97526-1035 | |
(541) 472-0021 | |
(541) 476-4003 |
Full Name | Lisa Callahan Cpnp |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1601 Ne 6th St, Grants Pass, Oregon |
Authorized Official Name and Position | Lisa Michelle Callahan (OWNER) |
Authorized Official Contact | 5414720021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lisa Callahan Cpnp 1601 Ne 6th St Grants Pass OR 97526-1035 Ph: (541) 472-0021 | Lisa Callahan Cpnp 1601 Ne 6th St Grants Pass OR 97526-1035 Ph: (541) 472-0021 |
NPI Number | 1285947622 |
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Provider Enumeration Date | 07/14/2010 |
Last Update Date | 10/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285947622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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