| Open Gate Collective Llc | |
|
7110 Sw Fir Loop Ste 110 Tigard OR 97223-8094 | |
| (971) 202-0552 | |
| Not Available |
| Full Name | Open Gate Collective Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7110 Sw Fir Loop Ste 110, Tigard, Oregon |
| Authorized Official Name and Position | Esther Cho (OWNER) |
| Authorized Official Contact | 7022185677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Gate Collective Llc 23515 Sw Elderberry Ln West Linn OR 97068-9131 Ph: (702) 218-5677 | Open Gate Collective Llc 7110 Sw Fir Loop Ste 110 Tigard OR 97223-8094 Ph: (971) 202-0552 |
| NPI Number | 1720871759 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720871759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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