Gina Marie Callaway, LMT 17789
NPI 1053616441ActiveIndividual· Specialist· Tigard, OR
Specialist (LMT 17789) in Tigard, Oregon, licensed in OR, with an NPI issued in January 2011.
Overview
| NPI | 1053616441 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMT 17789 |
| Sole proprietor | Yes |
| NPI issued | Jan 17, 2011 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | LMT 17789 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Tigard
- 1851442461
- 1750732772
- 1093713729
- 1548368012
- 1013644657
- 1861692808
- 1891025854
- 1366583460
- 1093909103
- 1881980407
- 1710216353
- 1013085927