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Gina L Stallard, LMT
Specialist in Reedsport, Oregon
NPI 1740425123

Gina L Stallard is a Specialist based in Reedsport, OR. Gina L Stallard practices in Reedsport, OR and has the professional credentials of LMT. The NPI Number for Gina L Stallard is 1740425123 and holds a License No. 5871 (Oregon).

The current practice location address for Gina L Stallard is 1025 Heather Ct, Reedsport, OR and can be reached out via phone at 541-361-0121.

Location: 1025 Heather Ct, Reedsport, OR, 97467-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740425123
Provider Name
Gina L Stallard
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1025 Heather Ct, Reedsport, OR, 97467-1919
Phone Number
541-361-0121
Fax Number
Provider Enumeration Date
12/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5871 01 OR LICENSE
institution
Provider Business Practice Location Address Details
Address
1025 Heather Ct
City
Reedsport
State
Oregon
Zip
97467-1919
Phone Number
541-361-0121
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Heather Ct
City
Reedsport
State
Oregon
Zip
97467-1919
Phone Number
541-361-0121
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5871 (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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