# JODY H TATE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740318815
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | MD161713 | OR | — |
| 207RP1001X | Pulmonary Disease Physician | MD60337788 | WA | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD161713 | OR | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD60337788 | WA | — |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 10/07/2015
