NPI 1053616441

Gina Marie Callaway, LMT

Practitioner Specialist Tigard, OR

Practice location

Address: 11501 SW Pacific Hwy STE 100, Tigard, OR 97223-8649
Phone: (503) 862-7787

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence LMT 17789 (OR)

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Registry record

NPI: 1053616441
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2011
Record last updated: 30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.