# GATEWAY SPORTS MEDICINE & REHABILITATION PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** InReach Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972698892
- **Authorized official:** TAMI JO GORMAN (OWNER/OFFICE MANAGER)
- **Authorized official phone:** (503) 261-1120

## Contact information

- **Practice address:** 10915 SE STARK ST, PORTLAND, OR 97216-3348
- **Practice address phone:** (503) 261-1120
- **Practice address fax:** (503) 261-8936
- **Mailing address:** 10915 SE STARK ST, PORTLAND, OR 97216-3348
- **Mailing address phone:** (503) 261-1120
- **Mailing address fax:** (503) 261-8936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 04/19/2024