NPI 1003626672

Elizabeth Tate

Practitioner Peer Specialist Portland, OR

Practice location

Address: 5019 NE 102nd Ave Unit a, Portland, OR 97220-1199
Phone: (971) 383-1220
Mailing address: 232 NW 6th Ave, Portland, OR 97209-3609

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 23-CRM-2070 (OR)

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Registry record

NPI: 1003626672
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2025
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.