Individual
MR. RONALD G. TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-A
Contact information
Practice address
401 CRATER LAKE AVE STE 1, MEDFORD, OR 97504-6860
(541) 608-9600
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
22445
OR
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
OR
237700000X
Hearing Instrument Specialist
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269853
—
OR
Enumeration date
05/25/2006
Last updated
03/17/2018
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