Individual
CHARLIE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 NE 122ND AVE, PORTLAND, OR 97230-1300
(971) 227-3553
Mailing address
7430 SE HENRY ST APT 11, PORTLAND, OR 97206-6414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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