Paine, Gina Michele
Paine, Gina Michele is an individual health care provider with primary practice located at 1875 Golf Course Rd S Tai - Valley Physical Therapy South, Salem OR 97302-9622. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Paine, Gina Michele can be contacted via phone (503) 585-4824.Contact Information
Primary practice address
1875 Golf Course Rd S Tai - Valley Physical Therapy South
Salem OR 97302-9622
Phone: (503) 585-4824
Fax: (503) 370-2545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4186 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT20153 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1149833 | Texas |
Profile Details
| NPI number | 1659340388 |
|---|---|
| LBN Legal business name | Paine, Gina Michele |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 29th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659340388 | NPPES |
| Oregon | MEDICAID | 227892 | |
| Oregon | Other | P00836821 | |
| Oregon | Other | P00836821 |
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