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Gina Squires
Massage Therapist in Dallas, Oregon
NPI 1518231638

Gina Squires is a Massage Therapist based in Dallas, OR. Gina Squires practices in Dallas, OR. The NPI Number for Gina Squires is 1518231638 and holds a License No. 12217 (Oregon).

The current practice location address for Gina Squires is 289 E Ellendale Ave, Dallas, OR and can be reached out via phone at 503-623-5505. You can also correspond with Gina Squires through the mailing address at 289 E ELLENDALE AVE, DALLAS, OR - 97338-1580 (mailing address contact number: ).

Location: 289 E Ellendale Ave, Dallas, OR, 97338-1580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518231638
Provider Name
Gina Squires
Credential
Provider Entity Type
Individual
Gender
Female
Address
289 E Ellendale Ave, Dallas, OR, 97338-1580
Phone Number
503-623-5505
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
289 E Ellendale Ave
City
Dallas
State
Oregon
Zip
97338-1580
Phone Number
503-623-5505
Fax Number
person
Provider Business Mailing Address Details
Address
289 E Ellendale Ave
City
Dallas
State
Oregon
Zip
97338-1580
Phone Number
503-623-5505
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12217 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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