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

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: July 19, 2026.

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.

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 with the weekly NPPES data releases published by CMS.