Individual
MS. GINA CRYSTAL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2538 NE BROADWAY ST STE C, PORTLAND, OR 97232-1872
(503) 282-8600
(503) 287-0967
Mailing address
1832 NE BROADWAY ST, PORTLAND, OR 97232-1992
(503) 282-8600
(503) 287-0967
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7348
OR
Other
Enumeration date
07/26/2006
Last updated
05/29/2014
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