Individual
MIKAELA C GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
11786 SW BARNES RD STE 110, PORTLAND, OR 97225-5926
(503) 924-2323
(503) 601-0569
Mailing address
11786 SW BARNES RD STE 110, PORTLAND, OR 97225-5926
(503) 924-2323
(503) 601-0569
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201806815RN
OR
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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