IndividualActive
Andrew Callos
NPI 1013316033 · Community Health Worker · Salem, OR
Provider details
- NPI number
- 1013316033
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2702401 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
2421 Lancaster Dr Ne
Salem, OR 97305-1220
Phone: (503) 569-0912
Approximate (ZIP-level) locationGet directions
Mailing address
2421 Lancaster Dr Ne
Salem, OR 97305-1220
Registry dates
- Enumerated
- 2014-08-14
- Last updated
- 2014-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.