Individual
MR. DAVID M TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301
(503) 399-2470
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303
(503) 399-2470
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15094
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133405
—
OR
01
—
CS4159
RAILROAD GROUP
—
01
—
P00248257
RAILROAD MEDICARE
—
Enumeration date
06/22/2006
Last updated
05/27/2010
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