Individual
DR. JOHN THOMAS CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2235 MISSION ST SE, STE 150, SALEM, OR 97302-1294
(503) 581-2505
(503) 581-2515
Mailing address
2235 MISSION ST SE, STE 150, SALEM, OR 97302-1294
(503) 581-2505
(503) 581-2515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067947000
BCBS
OR
05
—
138101
—
OR
01
—
5156300001
CIGRA DMERC
OR
Enumeration date
06/08/2005
Last updated
07/08/2007
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