NPI 1013316033

Andrew Callos

Practitioner Community Health Worker Salem, OR

Practice location

Address: 2421 Lancaster Dr NE, Salem, OR 97305-1220
Phone: (503) 569-0912

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 2702401 (OR)

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1013316033
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2014
Record last updated: 14 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.