Individual
GINA CAVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21370 SW LANGER FARMS PKWY, SUITE 138, SHERWOOD, OR 97140-9137
(503) 625-6247
Mailing address
21370 SW LANGER FARMS PKWY, SUITE 138, SHERWOOD, OR 97140-9137
(503) 625-6247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8773
OR
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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