Individual provider · NPI-1

Melinda K Callaway

Technician/Technologist, Optician · Salem, OR

NPI number1366544835
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1366544835
Entity type
Individual (NPI-1)
Name
Melinda K Callaway
Sex
Female
Sole proprietor
No
Enumeration date
Sep 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Other names

  • Melinda K Ohlmann (Former Name)

Practice location

2400 Lancaster Dr Ne
Optical Department
Salem, OR 97305-1221

Phone 503-370-4851 · Fax 503-375-5726

Mailing address

6090 Nelson Pl Se
Salem, OR 97306-3547

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