Gina M Callaway, LMT 17789
Specialist in Tigard, Oregon
1053616441- Practice location
- 11501 SW Pacific Hwy Ste 100, Tigard, OR 97223-8649
- Phone
- 503-862-7787
- Fax
- —
- Last updated
- January 30, 2024
Gina M Callaway, LMT 17789 is a Specialist based in Tigard, OR. Gina M Callaway, LMT 17789 holds the professional credentials of LMT 17789. The NPI number for Gina M Callaway, LMT 17789 is 1053616441 and holds license No. LMT 17789 (OR). The current practice location address is 11501 SW Pacific Hwy Ste 100, Tigard, OR 97223-8649 and the office can be reached by phone at 503-862-7787. The NPI was assigned on January 17, 2011 and the record was last updated in NPPES on January 30, 2024.
●Provider Profile Details
- NPI Number
- 1053616441
- Provider Name
- Gina Marie Callaway
- Credential
- LMT 17789
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Enumeration Date
- January 17, 2011
- Last Update Date
- January 30, 2024
- Certification Date
- January 30, 2024
- NPI Status
- Active
- Other Names
- Gina Marie Johnson, LMT 17789 (Former Name)
◉Business Practice Location Address
- Address
- 11501 SW Pacific Hwy Ste 100
Tigard, OR 97223-8649 - City
- Tigard
- State
- Oregon
- ZIP
- 97223-8649
- Country
- US
- Phone Number
- 503-862-7787
✉Business Mailing Address
- Address
- 11501 SW Pacific Hwy Ste 100
Tigard, OR 97223-8649 - City
- Tigard
- State
- OR
- ZIP
- 97223-8649
- Phone Number
- 503-862-7787
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | Yes | LMT 17789 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Tigard →?Frequently Asked Questions
What is the NPI number of Gina M Callaway, LMT 17789?
The NPI number of Gina M Callaway, LMT 17789 is 1053616441. It was assigned on January 17, 2011 and is currently active in the NPPES registry.
What is the specialty of Gina M Callaway, LMT 17789?
Gina M Callaway, LMT 17789 is registered under the primary taxonomy Specialist (code 174400000X) and holds license No. LMT 17789 (OR).
Where does Gina M Callaway, LMT 17789 practice?
The practice location is 11501 SW Pacific Hwy Ste 100, Tigard, OR 97223-8649. The office can be reached at 503-862-7787 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053616441 directly on the NPPES registry website at npiregistry.cms.hhs.gov.