Individual
KEVIN JOSEPH CALLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4193
Mailing address
7434 SW 54TH AVE, PORTLAND, OR 97219-1349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00994363
OR
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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