Provider Demographics
NPI:1275669749
Name:CALLAWAY, LORI FRANCES (RN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:FRANCES
Last Name:CALLAWAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13345 SW HOWARD DR
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2947
Mailing Address - Country:US
Mailing Address - Phone:503-789-7207
Mailing Address - Fax:503-579-6057
Practice Address - Street 1:13345 SW HOWARD DR
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-2947
Practice Address - Country:US
Practice Address - Phone:503-789-7207
Practice Address - Fax:503-579-6057
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health