Individual
CALLIE SUMMERFIELD CAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 SLEEPY HOLLOW LOOP, GRANTS PASS, OR 97527-9582
(541) 450-8293
Mailing address
1215 SLEEPY HOLLOW LOOP, GRANTS PASS, OR 97527-9582
(541) 450-8293
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JC601M8A
ALL CARE
OR
Enumeration date
12/07/2021
Last updated
12/07/2021
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