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Individual

JESSICA SKYE CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1750 BLANKENSHIP RD, SUITE 295, WEST LINN, OR 97068-5101
(503) 344-4378
Mailing address
315 HIGH STREET, APT 308, OREGON CITY, OR 97045
(503) 344-4378

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17764
OR

Other

Enumeration date
09/20/2012
Last updated
09/20/2012
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