Provider Demographics
NPI:1952636805
Name:O'CALLAGHAN, NAOMI (CPM)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:O'CALLAGHAN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 NW 92ND ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-6628
Mailing Address - Country:US
Mailing Address - Phone:360-719-0208
Mailing Address - Fax:
Practice Address - Street 1:6632 JOHNNY LOVE LN
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-1368
Practice Address - Country:US
Practice Address - Phone:702-595-1647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty