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Search › Oregon › 104100000X

Charlie Gates

NPI 1750227435 · on the registry since 2026

Practice

Address
4110 Ne 122nd Ave
Portland, OR 97230
Phone
(971) 227-3553
Organisation at this address
Cemented Rose Therapeutics, Llc
Waller Wholistic Wellness & Consulting
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon