Individual
MRS. LISA MICHELLE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-PC
Contact information
Practice address
1601 NE 6TH ST, GRANTS PASS, OR 97526-1035
(541) 472-0021
(541) 476-4003
Mailing address
1601 NE 6TH ST, GRANTS PASS, OR 97526-1035
(541) 472-0021
(541) 476-4003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
94000382
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080965
—
OR
Enumeration date
11/02/2005
Last updated
10/12/2016
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