Gateway to Rejuvenation
Gateway to Rejuvenation is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
1312 E Burnside StPortland, OR 97214-1424
Phone: (503) 205-1669
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence L7113 (OR) |
|---|
Record details
| NPI number | 1407388812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Omolola Elliott — Therapist · (971) 212-3146 |
| NPI enumerated | April 3, 2017 |
| Last updated in NPPES | April 3, 2017 |
| Mailing address | 3439 Ne Sandy Blvd Ste 216, Portland, OR 97232-1959 |
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