E'LAN C CALISE
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1740013994- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2284 ROCK LEDGE DR NE, KEIZER, OR, 973031810
- Phone
- (503) 960-0650
- Fax
- (503) 214-7265
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: OR #201330176LPN