Individual
DR. LETA TERESA CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 ROWE ROAD, WHEELER, OR 97147
(503) 368-5182
(503) 368-5590
Mailing address
PO BOX 176, WHEELER, OR 97147
(503) 368-5182
(503) 368-5590
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD19523
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154548881
—
OR
Enumeration date
04/20/2007
Last updated
12/22/2014
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