Gateway To Rejuvenation

LBN: Gateway To Rejuvenation
Gateway To Rejuvenation is an health care organization with primary practice located at 1312 E Burnside St , Portland OR 97214-1424. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Gateway To Rejuvenation can be contacted via phone (503) 205-1669, or through Elliott, Omolola A via phone (971) 212-3146.

Contact Information

Primary practice address
1312 E Burnside St Portland OR 97214-1424
Phone: (503) 205-1669
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elliott, Omolola A Licensed Clinical Social Worker (LCSW)
Phone: (971) 212-3146

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X L7113 Oregon

Profile Details

NPI number 1407388812
LBN Legal business name Gateway To Rejuvenation
DBA Doing business as
Authorized official Elliott, Omolola A Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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