Organization
SANTIAM FOOT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS CALLAHAN DPM (PODIATRIC PHYSICIAN AND SURGEON)
(503) 581-2505
Entity
Organization
Contact information
Practice address
2235 MISSION ST SE STE 150, SALEM, OR 97302-1294
(503) 581-2505
(503) 581-2515
Mailing address
2235 MISSION ST SE STE 150, SALEM, OR 97302-1294
(503) 581-2505
(503) 581-2515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138101
—
OR
Enumeration date
11/04/2009
Last updated
05/26/2010
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