Individual
MR. JAMES ROBERT CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.F.A.
Contact information
Practice address
9427 SW BARNES RD, SUITE 395, PORTLAND, OR 97225-6652
(503) 216-2602
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200342299RN
OR
163WR0006X
Registered Nurse First Assistant
RN00121912
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500643636
—
OR
01
—
6021626860010001
UBI
WA
Enumeration date
01/29/2007
Last updated
10/17/2012
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