Individual
MS. GINA MICHELE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1875 GOLF COURSE RD S, TAI - VALLEY PHYSICAL THERAPY SOUTH, SALEM, OR 97302-9622
(503) 585-4824
(503) 370-2545
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1149833
TX
225100000X
Physical Therapist
Primary
4186
OR
225100000X
Physical Therapist
PT20153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227892
—
OR
01
—
P00836821
RR
OR
Enumeration date
03/15/2006
Last updated
07/29/2014
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