GATEWAY TO REJUVENATION

PORTLAND, OR
NPI1407388812
Entity TypeOrganization
Authorized ContactOMOLOLA A ELLIOTT
Therapist
971-212-3146
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OR  L7113)
Enumeration Date2017-04-03
Last Update Date2017-04-03
Business Address
GATEWAY TO REJUVENATION
1312 E BURNSIDE ST
PORTLAND, OR 97214-1424
Phone number: 503-205-1669
Mailing Address
GATEWAY TO REJUVENATION
3439 NE SANDY BLVD STE 216
PORTLAND, OR 97232-1959
Phone number: 503-205-1669
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