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Individual

JESSE D CALLIHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, CADCI

Contact information

Practice address
9000 SE MCBROD AVE, MILWAUKIE, OR 97222-7336
(503) 655-8262
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5976
OR

Other

Enumeration date
01/31/2013
Last updated
02/20/2014
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