Gateway Sports Medicine & Rehabilitation PC

NPI #1972698892 in Portland, Oregon

Provider Information

NPI Number: 1972698892
Entity Type: Organization
Organization Name: Gateway Sports Medicine & Rehabilitation PC
Primary Specialty: Chiropractor
Enumeration Date: Oct 4, 2006
Last Updated: Apr 19, 2024

Practice Location

Address: 10915 SE STARK ST
City: Portland
State: Oregon
ZIP Code: 97216-3348
Phone: (503) 261-1120

Authorized Official

Name: TAMI JO GORMAN
Title: OWNER/OFFICE MANAGER
Phone: (503) 261-1120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Physical Therapist	225100000X

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