Individual
BRYAN TATE VIRGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
32773 W WALLS RD, HERMISTON, OR 97838-6364
(541) 720-4679
(888) 977-2106
Mailing address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
(541) 720-4679
(888) 977-2106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-26-6367
OR
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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