Individual
DENEICE MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 420-4263
Mailing address
1135 SW RIMROCK RD, PRINEVILLE, OR 97754-2643
(541) 420-4263
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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