RANDALL TATE

Counselor

Active Individual
NPI: 1952899171

Practice Address

3415 SE POWELL BLVD
Portland, OR 97202

Phone: (503) 234-9591

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1952899171 is the National Provider Identifier for RANDALL TATE, a Counselor provider located in Portland, OR. This NPI was enumerated on April 24, 2018.
RANDALL TATE practices at 3415 SE POWELL BLVD, Portland, OR 97202.

Quick Facts

NPI
1952899171
Type
Individual
Enumerated
Apr 24, 2018
Last Updated
Apr 24, 2018

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