Individual
JASON TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1479 NW MULHOLLAND DR, ROSEBURG, OR 97470-1914
(541) 673-0190
(541) 957-9410
Mailing address
1479 NW MULHOLLAND DR, ROSEBURG, OR 97470-1914
(541) 673-0190
(541) 957-9410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R9278
OR
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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