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GATEWAY TO REJUVENATION
NPI 1407388812
Community/Behavioral Health in Portland, OR

Active since April 03, 2017
1312 E BURNSIDE ST, PORTLAND, OR 97214(503) 205-1669 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gateway To Rejuvenation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY TO REJUVENATION (NPI 1407388812) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since April 2017. The organization lists Omolola A Elliott, Therapist, as its authorized official.

NPPES Registry Identity

NPI1407388812
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGATEWAY TO REJUVENATION
Location Address1312 E BURNSIDE STPortland, OR 97214-1424
Mailing Address3439 Ne Sandy Blvd Ste 216Portland, OR 97232-1959 · (503) 205-1669
Phone(503) 205-1669
Organization SubpartNo
Authorized OfficialOmolola A ElliottTherapist · (971) 212-3146
Enumeration DateApril 3, 2017
✔ NPI 1407388812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OR · L7113
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1312 E BURNSIDE ST, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMOLOLA ELLIOTT LCSW
Marriage & Family Therapist
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 205-1669
KATIE AZAROW, LCSW, CADC I
Social Worker (Clinical)
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (402) 253-4713
DR. YURI HIRANUMA D.O.
Neuromusculoskeletal Medicine & OMM
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 331-3916
THIS
Dietitian, Registered
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 949-5499
YIN JIA LI LMFT
Marriage & Family Therapist
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 801-2280
HEALTH MATTERS NORTHWEST, LLC
Social Worker (Clinical)
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 404-5174
AMY ESATTO RD, LD
Dietitian, Registered
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 949-5499
MARK AMOROSO LPC, CADC
Counselor (Mental Health)
1312 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 956-4666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway To Rejuvenation's NPI number?

The NPI number for Gateway To Rejuvenation is 1407388812. It was assigned to this organization in the NPPES registry on April 3, 2017.

Where is Gateway To Rejuvenation located?

Gateway To Rejuvenation is located at 1312 E Burnside St, Portland, OR 97214. The listed phone number is (503) 205-1669.

What is Gateway To Rejuvenation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Gateway To Rejuvenation accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Gateway To Rejuvenation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gateway To Rejuvenation was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.