Individual
RYAN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1218 9TH ST STE 10, RUPERT, ID 83350-2207
(208) 436-8340
(208) 436-9760
Mailing address
2655 NW HIGHLAND DR, UNIT 32, CORVALLIS, OR 97330-3692
(515) 422-4786
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14175036-1204
UT
207X00000X
Orthopaedic Surgery Physician
Primary
PG158100
OR
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
O-1152
ID
Other
Enumeration date
06/21/2012
Last updated
06/05/2025
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