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Mrs. Georgianna Wade, LMT
Specialist in Gresham, Oregon
NPI 1558400713

Georgianna Wade is a Specialist based in Gresham, OR. Georgianna Wade practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Georgianna Wade is 1558400713 and holds a License No. 7812 (Oregon).

The current practice location address for Georgianna Wade is 343 W Powell Blvd, Gresham, OR and can be reached out via phone at 503-666-9171 and via fax at 503-667-9072.

Location: 343 W Powell Blvd, Gresham, OR, 97030-7050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558400713
Provider Name
Georgianna Wade
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
343 W Powell Blvd, Gresham, OR, 97030-7050
Phone Number
503-666-9171
Fax Number
503-667-9072
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
343 W Powell Blvd
City
Gresham
State
Oregon
Zip
97030-7050
Phone Number
503-666-9171
Fax Number
503-667-9072
person
Provider Business Mailing Address Details
Address
343 W Powell Blvd
City
Gresham
State
Oregon
Zip
97030-7050
Phone Number
503-666-9171
Fax Number
503-667-9072
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
7812 (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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