# GATEWAY EYE CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851585038
- **Authorized official:** ROBERT J CHESTLER M.D. (PRESIDENT)
- **Authorized official phone:** (503) 252-2467

## Contact information

- **Practice address:** 10502 NE WASCO ST, PORTLAND, OR 97220-3948
- **Practice address phone:** (503) 252-2467
- **Practice address fax:** (503) 252-0670
- **Mailing address:** 10502 NE WASCO ST, PORTLAND, OR 97220-3948
- **Mailing address phone:** (503) 252-2467
- **Mailing address fax:** (503) 252-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 08/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013545 | — | OR |