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Contact Information

LAURIE L CALLAHAN, MSN, FNP-BC
940 ROYAL AVE UNIT 350
MEDFORD, OR97504-6194
 Phone: 541-732-7460
 Fax: 541-734-7461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for LAURIE L CALLAHAN · (Female)

NPI # 1194821751
Status Active
Credentials MSN, FNP-BC
Entity Individual
Enumeration date 09/14/2006
Last updated 10/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 095006655
  • OR License # 200650147NP
  • OR Medicaid 292038
Hospital affiliation(s)
  • PROVIDENCE MEDFORD MEDICAL CENTER - (Acute Care)
    1111 CRATER LAKE AVENUE
    MEDFORD, OR 97504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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