LISA MICHELLE CALLAHAN NPI 1588739130

NPI Information

  • NPI: 1588739130
  • Provider Name: LISA MICHELLE CALLAHAN
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: GRANTS PASS PEDIATRICS
  • CLIA Number: 38D1051934
  • Address: 1601 NE 6TH ST
    GRANTS PASS, OR
    ZIP 97526
  • Phone: (541) 476-3636

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NPI Details

LISA MICHELLE CALLAHAN is a primary care clinic center in Grants Pass, OR. LISA MICHELLE CALLAHAN NPI is 1588739130. The provider is registered as an organization entity type.
The provider Is Doing Business As Grants Pass Pediatrics.

The provider's business location address is:

1601 NE 6TH ST
GRANTS PASS, OR
ZIP 97526-035
Phone: (541) 476-3636
Fax: (541) 474-4628

The provider's authorized official is Lisa Michelle Callahan .
The authorized official title is Owner and has the following contact phone number (541) 472-0021.

The CLIA number assigned to this NPI record is 38D1051934 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care94000382N2OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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