Organization
GATEWAY,INC.
Active
Other names
d.b.a. Gateway Care and Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RICHARD HARDING (ADMINISTRATOR)
(503) 252-2461
Entity
Organization
Contact information
Practice address
39 NE 102ND AVE, PORTLAND, OR 97220-4103
(503) 252-2461
(503) 408-5910
Mailing address
39 NE 102ND AVE, PORTLAND, OR 97220-4103
(503) 252-2461
(503) 408-5910
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
800847
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800847
—
OR
Enumeration date
10/05/2005
Last updated
08/22/2020
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