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Organization
GATEWAY SPORTS MEDICINE & REHABILITATION PC
Active
Organization
GATEWAY SPORTS MEDICINE & REHABILITATION PC
Active
Other names
InReach Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI JO GORMAN (OWNER/OFFICE MANAGER)
(503) 261-1120
Entity
Organization
Contact information
Practice address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
(503) 261-8936
Mailing address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
(503) 261-8936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
273125
OR
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
2057
OR
225100000X
Physical Therapist
5194
OR
225100000X
Physical Therapist
5224
OR
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
04/19/2024
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