Dqcgm of Oregon LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DQCGM OF OREGON LLC

Doing business as

Gateway Dental Surgery Center

Practice address

10535 NE Glisan St Ste 100
Portland, OR 97220-4076

Phone

(971) 229-8777

NPI assigned

May 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sherrie Edmondson

Title

Sr Manager Licensing & Credentialin

Phone

(629) 999-5014

Specialties & licenses 1

Addresses

Other names 1

• GATEWAY DENTAL SURGERY CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1326839507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842674",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900842674",
            "telephone_number": "629-999-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 NE GLISAN ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204076",
            "telephone_number": "971-229-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DQCGM OF OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "SR MANAGER LICENSING & CREDENTIALIN",
        "authorized_official_telephone_number": "629-999-5014"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY DENTAL SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Jane Doyle, PHD
• Shamir W Doyle
• Sylvia Doyle, PHARM.D.
• Jody Miki Dozono, MPT, GCS
• Dpmbeckmannnror LLC
• Dr Cara Maxson ND LLC
• Dr Dentists Housecalls
• Dr Elise Schroeder
• Dr Frances V Verzosa MD PC
• Dr Hernandezwolfe

• Ambulatory Surgical Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.