Gateway Sports Medicine & Rehabilitation Pc in Portland - Chiropractor
Gateway Sports Medicine & Rehabilitation Pc - NPI 1972698892
Gateway Sports Medicine & Rehabilitation Pc is a Chiropractor in Portland, Oregon. Gateway Sports Medicine & Rehabilitation Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gateway Sports Medicine & Rehabilitation Pc is 1972698892. The last update date is 2020-02-19.
Gateway Sports Medicine & Rehabilitation Pc's current location address is 10915 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5032611120 and fax number 5032618936. The mailing address for Gateway Sports Medicine & Rehabilitation Pc is 10915 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Gateway Sports Medicine & Rehabilitation Pc |
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Address | 10915 Se Stark St, Portland, Oregon |
Phone Number | 5032611120 |
Fax Number | 5032618936 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/OFFI |
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Authorized Official Name | Gorman Jo Tami |
Telephone Number | 5032611120 |
NPI Number Detail
NPI Number | 1972698892 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2020-02-19 |
Provider Mailing Address Detail
Address | 10915 Se Stark St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972163348 |
Phone Number | 5032611120 |
Fax Number | 5032618936 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Gateway Sports Medicine & Rehabilitation Pc by the Centers for Medicare & Medicaid Services?
The Gateway Sports Medicine & Rehabilitation Pc has been issued the NPI (National Provider Identifier) 1972698892. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gateway Sports Medicine & Rehabilitation Pc's facilities are situated?
The facilities of Gateway Sports Medicine & Rehabilitation Pc are physically located at the following address: 10915 Se Stark St, Portland, OR, 972163348.
What is the Gateway Sports Medicine & Rehabilitation Pc's area of specialization and corresponding taxonomy classification?
The Gateway Sports Medicine & Rehabilitation Pc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Gateway Sports Medicine & Rehabilitation Pc receive its 1972698892 assignment from the Centers for Medicare & Medicaid Services?
The Gateway Sports Medicine & Rehabilitation Pc was assigned its 1972698892 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gateway Sports Medicine & Rehabilitation Pc last refreshed?
The information related to the Gateway Sports Medicine & Rehabilitation Pc, including its address, specialty, and other relevant details, was last updated on 2020-02-19.