Individual
GINA BARBERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1659 NE MARKET DR, FAIRVIEW, OR 97024-3867
(503) 465-9100
(503) 665-2290
Mailing address
1659 NE MARKET DR, FAIRVIEW, OR 97024-3867
(503) 465-9100
(503) 665-2290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21788
OR
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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