Organization
LISA MICHELLE CALLAHAN
Active
Other names
Grants Pass Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MICHELLE CALLAHAN CPNP (OWNER)
(541) 472-0021
Entity
Organization
Contact information
Practice address
1601 NE 6TH ST, GRANTS PASS, OR 97526-1035
(541) 476-3636
(541) 474-4628
Mailing address
1601 NE 6TH ST, SUITE B, GRANTS PASS, OR 97526-1035
(541) 472-0021
(541) 476-4003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
94000382N2
OR
Other
Enumeration date
11/21/2006
Last updated
10/12/2016
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