Individual
REBECCA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16979 SW STEELE WAY, BEAVERTON, OR 97006-8935
(503) 207-8671
Mailing address
16979 SW STEELE WAY, BEAVERTON, OR 97006-8935
(503) 207-8671
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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