GINA MARIE CALLAWAY LMT 17789
NPI 1053616441
Specialist in Tigard, OR

Q: What is Gina Callaway's NPI number?

The NPI number for Gina Callaway is 1053616441. It was assigned to this individual provider in the NPPES registry on January 17, 2011. The provider is also known as Gina Marie Johnson Lmt 17789.

Q: What is Gina Callaway's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Callaway was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2011

11501 SW PACIFIC HWY STE 100, TIGARD, OR 97223(503) 862-7787 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gina Marie Callaway Lmt 17789 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA MARIE CALLAWAY LMT 17789 (NPI 1053616441) is an individual specialist in Tigard, Oregon, licensed in Oregon (LMT 17789) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1053616441

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameGINA MARIE CALLAWAYCredential: LMT 17789

Location Address11501 SW PACIFIC HWY STE 100Tigard, OR 97223-8649

Mailing Address11501 Sw Pacific Hwy Ste 100Tigard, OR 97223-8649 · (503) 862-7787

Phone(503) 862-7787

Sole ProprietorYes

Enumeration DateJanuary 17, 2011

Last NPPES UpdateJanuary 30, 2024

NPPES CertifiedJanuary 30, 2024

✔ NPI 1053616441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · LMT 17789

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.

11501 SW PACIFIC HWY STE 100, Tigard, OR 97223

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Other Names 1

Former Name (1)Gina Marie Johnson Lmt 17789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Callaway's NPI number?

The NPI number for Gina Callaway is 1053616441. It was assigned to this individual provider in the NPPES registry on January 17, 2011. The provider is also known as Gina Marie Johnson Lmt 17789.

Where is Gina Callaway located?

Gina Callaway practices at 11501 SW Pacific Hwy Ste 100, Tigard, OR 97223. The listed phone number is (503) 862-7787.

What is Gina Callaway's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gina Callaway was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.