MEDICARE: ELIZABETH CALLAHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	ABA-IN-10185171	OR
2	207Q00000X	Family Medicine Physician	70123561	WA

General Provider Information

NPI Number	:	1275049512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CALLAHAN MD

Provider Business Mailing Address
First Line	:	100 E 33RD ST STE 100
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98663-2776
Country	:	US
Telephone Number	:	360-514-7560
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E 33RD ST STE 100
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98663-2776
Country	:	US
Telephone Number	:	360-514-7550
Fax Number	:	360-514-7587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2017
Last Update Date	:	05/27/2026

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Directions to “ ELIZABETH CALLAHAN MD” Practice Location

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