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Individual

KEVIN CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(503) 215-3627
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1020827
OR

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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