Wellformed AI

NPI 1619013315 · live from the CMS NPI Registry

James Robert Callahan, R.N.F.A.

Registered Nurse, Registered Nurse First Assistant in Portland, OR. National Provider Identifier 1619013315, active.

NPI record

NPI1619013315 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Registered Nurse First Assistant 163WR0006X
Practice location9427 Sw Barnes Rd, Suite 395, Portland, OR 97225
Practice phone503-216-2602
Mailing addressPo Box 3158, Portland, OR 97208
EnumeratedJanuary 29, 2007
Last updatedOctober 17, 2012
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Registered Nurse First Assistant163WR0006XRN00121912 (WA)
Registered Nurse, Registered Nurse First Assistant primary163WR0006X200342299RN (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.