Individual provider · Type 1 NPI

Gina Marie Callaway, LMT 17789

Specialist · Tigard, OR

NPI number 1053616441 Active

Practice location

11501 SW Pacific Hwy Ste 100
Tigard, OR 97223-8649

Call (503) 862-7787 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLMT 17789 (OR)

Specialist: 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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About NPI 1053616441

Gina Marie Callaway, LMT 17789's National Provider Identifier is 1053616441, issued on Jan 17, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tigard, OR. The record was last updated on Jan 30, 2024.