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Gina Marie Callaway, LMT17789
Specialist in Tigard, Oregon
NPI 1053616441

Gina Marie Callaway is a Specialist based in Tigard, OR. Gina Marie Callaway practices in Tigard, OR and has the professional credentials of LMT17789. The NPI Number for Gina Marie Callaway is 1053616441 and holds a License No. LMT 17789 (Oregon).

The current practice location address for Gina Marie Callaway is 11501 Sw Pacific Hwy Ste 100, Tigard, OR and can be reached out via phone at 503-862-7787.

Location: 11501 Sw Pacific Hwy Ste 100, Tigard, OR, 97223-8649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053616441
Provider Name
Gina Marie Callaway
Credential
LMT17789
Provider Entity Type
Individual
Gender
Female
Address
11501 Sw Pacific Hwy Ste 100, Tigard, OR, 97223-8649
Phone Number
503-862-7787
Fax Number
Provider Enumeration Date
01/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11501 Sw Pacific Hwy Ste 100
City
Tigard
State
Oregon
Zip
97223-8649
Phone Number
503-862-7787
Fax Number
person
Provider Business Mailing Address Details
Address
11501 Sw Pacific Hwy Ste 100
City
Tigard
State
Oregon
Zip
97223-8649
Phone Number
503-862-7787
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
LMT 17789 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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